Form DWC045 PDF Details

DWC will schedule a BRC within 40 days of getting a complete request, or within 20 days (expedited) if DWC determines that the BRC needs to happen sooner.

Reschedule: if you file a request within 10 days of receiving notice of the BRC, it will be approved if there have been no other requests to reschedule by either party.

Cancel: requesting to cancel a BRC may be considered a withdrawal of the dispute, which can cause serious legal problems with your case.

In-person BRC: BRCs are held virtually, unless good cause is shown for an in-person BRC.

Information: you must share information about a dispute with the other parties before a BRC.

Accommodations: DWC will provide accommodations to parties who qualify under the Americans with Disabilities Act.

QuestionAnswer
Form NameForm DWC045
Form Length5 pages
Fillable?Yes
Fillable fields59
Avg. time to fill out10 min
EditionRev 07/21
Where to sendFax 512-804-4011; mail to Texas Department of Insurance, Division of Workers' Compensation Hearings, Mail Code HRG PO Box 12050 Austin, TX 78711-2050; or drop the form off at a DWC field office
Matches the agency's fileYes, checked October 3, 2026
Other namesDWC045, DWC 045, DWC Form-045, Form DWC045, Benefit Review Conference request
Official sourceForm DWC045 (Rev 07/21), Texas Department of Insurance, Division of Workers' Compensation