Legal Forms >> Texas >> Workers' Compensation
Form #:TX-WC-0052S Texas Workers Compensation Division form for an application by an employee for supplemental income benefits--Spanish language.
Name:Application for Supplemental Income Benefits (Spanish) Form Number: TX-WC-0052S State:Texas Statute: Form Category:Workers' Compensation
This form is only available as a downloadable PDF which will be made available to you after you complete your purchase.
Search MillerDavis.com for legal forms and specialty products.
All of our forms include standard shipping at no additional cost.