The DWC-150 is not a required form. It is provided as an option for claimant attorneys to provide notice of representation to the division.
Others: other representatives are not required to notify the division; however, they may use the DWC Form-150 to submit notice of representation.
Mail or fax: attorneys may submit the DWC Form-150 by mailing it to the address at the top of the form or faxing it to 512-804-4378.
Delivery: attorneys may submit the DWC Form-150 by personally delivering it to the division field office handling the claim or the central office of the division.
Death benefits claim: beneficiary information is only required when representing an individual in a death benefits claim.
| Question | Answer |
|---|---|
| Form Name | DWC150 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 32 |
| Avg. time to fill out | 6 min |
| Edition | 12/16 |
| Filing deadline | Within 10 days of undertaking the representation |
| Who signs | The representative |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | DWC150, DWC 150, DWC-150, DWC Form-150, Form 150, Texas DWC150, Notice of Representation |
| Official source | DWC150 (Rev 12/16), Texas Department of Insurance, Division of Workers' Compensation |
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