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TWCC CLAIM CARRIER S CLAIM EMPLOYERS FIRST REPORT OF INJURY OR ILLNESS 1. Name Last First M. I. 2. Sex 15. Texas Workers Compensation Commission Rule 120. 2 TWCC 1 Rev. 07/03 INSTRUCTIONS FOR EMPLOYERS FIRST REPORT OF INJURY OR ILLNESS TWCC-1 Type or print in black ink each item on this form. Failure to complete each item may delay the processing of the injury claim. Article 8308 - 5. 05 Texas Workers Compensation Act requires an Employer s First.

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