Call the Texas Department of Insurance, Division of Workers' Compensation at 1-800-252-7031, Monday to Friday, 8 a.m. A copy of this letter will be placed in your personnel file.You may provide a written response to this notice. This form notifies the receiving party that you intend to suspend work if a payment dispute is not cleared up. Texas just sent me a letter from a law firm stating they suspended my license due to unpaid juvenile fines from 2006 for MIP of tobacco. The employer is not required to provide you with any paperwork or even an explanation for the suspension. The Office of the Governor is in receipt of OAG's request to temporarily suspend certain statutes concerning appearance before a notary public. At a minimum, you must fill in the blanks on this form. Guided interview to fill out form to cancel a Transfer on Death Deed you made. Service of a notice shall be prima facie evidence of the fact of service.