This waiver applies only to the person or organization shown in the Schedule above. Workers' compensation agreement forms.Division of Workers Compensation main forms page. Most frequently, contracting parties agree to contractually require the inclusion of a waiver of subrogation endorsement in a workers' compensation policy. A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. You should check the "Waiver of Subrogation" box if the policy includes a Waiver of Subrogation endorsement that names the certificate holder. WORKERS' COMPENSATION INSURANCE COVERAGE: Endorsed with a Waiver of Subrogation in favor of TxDOT. A waiver of subrogation is a legal endorsement that prevents an insurer from recovering the money they've paid out on a claim from a negligent third party. The insured must have a written contract with the third party requiring a waiver of subrogation, or we preserve the right to recover. DO NOT COMPLETE THIS FORM UNLESS OTHER INSURANCE COVERAGE (i.e.