TEXAS WORKFORCE COMMISSION
CIVIL RIGHTS DIVISION
101 EAST 15TH STREET, RM. 144-T
AUSTIN, TEXAS 78778-0001
(CIVIL PRACTICE AND REMEDIES CODE, CHAPTER 132)
My name is
my date of birth is
and my address is
I declare under penalty of perjury that the foregoing is true and correct.
County, State of
, on the
Completed forms, inquiries, or corrections to the individual information contained in this form shall be sent to the TWC Civil Rights Division, 101 E 15th St, Rm 144, Austin, TX 78778-0001, (512) 463-2643
Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.