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Online Forms

Preliminary Auto Accident Claim
Reporté Preliminar del Accidenté
General Liability Claim
Property Claim
Auto Vandalism/Theft Claim
Employer's First Report of Injury or Illness

Downloadable Forms

Property Claim Form
DWC-1
DWC-2
DWC-3
DWC-6
Notice of Injured Worker's Rights
Aviso sobre los Derechos y Responsabilidades para los Empleados
Worker's Comp Disclosure
No-Injury Declaration
Declaraciòn De Ninguna Lesiòn
Sample Bona Fide Job Offer
Statement of Non-Injury
Office of Injured Employee Counsel (English/Espanol)
VIP Worker's Comp Claims Brochure


Toll-Free Phone: (866) 883-9995
Toll-Free Fax: (866) 883-9996
Emergency After-Hours Phone: (866) 240-0807
Email: claims@ib-tx.com
Overnight or Mail: 5844 Rocky Point Drive
San Antonio, TX 78249
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