Workers Compensation - Official - Affidavits
Workers Compensation - Official - Agreements
Workers Compensation - Official - Applications
- Application For Drug-Free Workplace Premium Credit Program FL-09-1-WC
- Application for Self-Insurance FL-SI-1-WC
- Claim Cost Report FL-DFS-F2-DWC-13-WC
- Aggregate Claims Administration Change Report FL-DFS-F2-DWC-49-WC
- Notice of Action / Change FL-DFS-F2-DWC-4-WC
- Notice of Revocation of Election to be Exempt FL-DWC-250-R-WC
- Notice of Election of Coverage FL-DWC-251-WC
- Notice of Denial FL-DFS-F2-DWC-12-WC
- Self-Insurance Unit Statistical Report FL-SI-17-WC
- Report of Outstanding Workers Compensation Liabilities FL-SI-20-WC
- Request for Wage Loss / Temporary Partial Benefits FL-DFS-F2-DWC-3-WC
- Request For Social Security Disability Benefit Information FL-DFS-F2-DWC-14-WC
