Texas Form 1560 – Fill Out and Use This PDF

Texas Form 1560 PDF Details

Form 1560 (Rev. 07/24) asks for the insured's name and address and, for each policy, the carrier's name, address and phone number, the policy number, and the effective and expiration dates, with limits of liability not less than those printed on the form (Workers' Compensation: statutory, Texas). Copies of endorsements are not required as attachments. Should a policy be cancelled before its expiration date, notice will be delivered in accordance with the policy provisions. A form sent by fax is adopted as a duplicate original, with the signature produced by the receiving fax machine adopted as the sender's original signature. Under sections 552.021, 552.023 and 559.004 of the Texas Government Code, you may ask to see the information TxDOT collects about you and to have it corrected.