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This form is used to revoke a written authorization for representation previously granted and on file with the Texas Workforce Commission (TWC).
Any business or employer that wants to revoke previously granted authority for an individual or service company to represent them in matters before TWC, can use this form. Also, the authorized representative or “grantee” may revoke their own authority to represent an employer in matters before TWC.
The revocation of written authorization must be signed by the:
Mail completed forms, inquiries, or corrections:
TWC Tax Department
P.O. Box 149037
Austin, TX 78714-9037
Individuals may receive and review information that TWC collects about the individual by emailing open.records@twc.texas.gov or writing to:
TWC Open Records
101 E 15th St, Rm 266
Austin, TX 78778-0001