Item 13: the medical condition will allow the employee to return to work without restrictions, with the restrictions identified in PART III, or has prevented and still prevents it.
Activity restrictions: only complete Part III if box 13b is checked.
Employee: the employee is required to report the injury to the employer within 30 days if the employer has workers' compensation insurance.
Free assistance: the employee has the right to free assistance from DWC and may be entitled to certain medical and income benefits; call DWC at 800-252-7031.
Designated doctor: the designated doctor must file a narrative report along with DWC Form-073.
Follow-up: item 22 lists expected follow-up services, such as evaluation by the treating doctor, physical medicine and special studies.
| Question | Answer |
|---|---|
| Form Name | DWC073 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 267 |
| Avg. time to fill out | 45 min |
| Edition | Rev 09/19 |
| Employee | Required to report the injury to the employer within 30 days if the employer has workers' compensation insurance |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | DWC073, DWC 073, DWC-073, DWC Form-073, Texas Workers' Compensation Work Status Report |
| Official source | DWC073 (Rev 09/19), Texas Department of Insurance, Division of Workers' Compensation |
Form Twcc 73 isn’t the one you’re looking for?