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DWCFormsACK

File Acknowledgment

The Texas Department of Insurance, Division of Workers' Compensation (TDI-DWC) has received a submission of:

Form:	DWC Form-020SI, Governmental entity coverage information
Submission Date:	02/27/2026
Filing ID:	null
Submitter:
Organization Name:

File Status: null

Please retain this acknowledgment for your records. If you have any questions, contact the Insurance Coverage Section using the information listed above.