Signing up with SureNotice is fast and easy. The information below will be used to fill out a document entitled “Designation of Insurance Carrier’s Austin Representative” (i.e. DWC-27). After you hit the “submit” button, we will forward to you a completed DWC-27 for final review and signature. Once executed, we will file it with the Division.
Important: After the filing of the DWC-27, you will continue to receive Division notices from your current Austin Representative for another 30 days.
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