Texas
Workers Compensation
Employer
Last updated: 10/9/2023
Employees Multiple Employment Wage Statement {DWC-3ME}
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Description
DWC003ME - EMPLOYEE'S MULTIPLE EMPLOYMENT WAGE STATEMENT. An injured employee that has more than one job at the time of their injury is responsible for filing a completed DWC Form-003ME with their insurance carrier and Texas Department of Insurance, Division of Workers' Compensation (DWC). The injured employee should have each non-claim employer complete the form. www.FormsWorkflow.com
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