Personal Identification

Online Access Request

If you have been injured on the job, please ensure that you report your injury to the Texas Department of Insurance, Division of Workers' Compensation before requesting TXCOMP system access.

Items marked with an asterisk (*) are required.

Personal Identification Information

*	Please indicate your primary role in the Texas Workers' Compensation system.

*	First Name
	Middle Name
*	Last Name	Name without professional credentials

	Name Suffix

* At least one of the following

Social Security Number	Numbers only


Driver License/ID Number and
Jurisdiction

Green Card Number

Foreign ID and
Country

*	Date of Birth	mm/dd/yyyy

*	Gender	Male Female