DO NOT DO THIS ALONE! WE ARE HERE FOR YOU

Have you been diagnosed with cancer, heart disease or any other occupational illness?

Taking prompt action can help you access the benefits you need during this challenging time.  As a firefighter you may qualify for Workers’ Compensation and state benefits.

  • Texas law requires that you complete specific forms within 30 days from the date of injury, illness, or diagnosis.
  • We strongly recommend contacting your association representative or departmental supervisor immediately upon injury or diagnosis.  They can provide you with guidance and support throughout the process and ensure all required paperwork is submitted promptly and accurately.

For firefighter support contact:
David Lindsey at 214-536-9053, or 
Robert Webb at 817-999-0573.

For family member support:
Michelle Dalton at 817-368-6584 or an Eternal Flames Board Member will assist you.

STEP 1: FILE DWC-01 FORM WITHIN 30-DAYS

EMPLOYERS FIRST REPORT OF INJURY OR ILLNESS FORM

  • Complete this form WITHIN 30-DAYS of injury or illness diagnosis and submit to your employer.  
DWC Form-001

STEP 2: FILE DWC-041 FORM WITHIN 1 YEAR

Employee’s Claim for Compensation for a Work-Related Injury or Occupational Disease (DWC Form-041).

  • This form WILL BE MAILED TO YOUR HOME after your DWC-01 FORM is received by the Department.  
  • DO NOT complete this form on your own.  Please contact one of our firefighter support officers listed above or your HR representative for assistance.
  • DWC FORM-041 MUST BE FILED WITHIN 1-YEAR of date of injury or illness diagnosis and submitted to the Division of Workers’ Compensation.

We strongly recommend filing this form immediately to ensure you receive Workers' Compensation benefits without delay or complications. This step is crucial to safeguarding your rights and benefits as an injured employee.

DWC Form-041
Eternal Flames Foundation Poster