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  • Dfs-f2-dwc-13. Claim Cost Report

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CLAIM COST REPORT SENT TO DIVISION DATE DIVISION RECEIVED DATE FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 200 East Gaines Street Tallahassee, FL 32399-4226 COMPLETE.

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Workers' comp pays for all medical care that's necessary to treat a work-related injury or illness, as long as your treatment is prescribed by the treating doctor and authorized by the insurance company. You're also entitled to the cost of traveling to and from doctor's appointments and to get prescribed medicine.

You should report it as soon as possible but no later than thirty (30) days or your claim may be denied.

Steps to File a Workers' Compensation Claim in Florida Write Down Details of What Happened and Obtain Available Evidence. ... Get Medical Treatment. ... Report Your Injury to Your Employer. ... Follow Up. ... Document Everything. ... Be Careful when Talking to the Insurance Company. ... Try to Resolve Any Disputes, Then File a Petition.

ing to Florida law, the statute of limitations for workers' compensation claims in Florida extends two years from the date of the injury or knowledge of the injury. If you do not file within this time period, you will likely be barred from bringing a claim.

445 cents per mile. You may submit mileage reimbursements as treatment occurs or if you prefer, you may submit them periodically or at the end of your treatment.

You should report it as soon as possible but no later than thirty (30) days or your claim may be denied.

Florida law requires most employers to purchase workers' compensation coverage. Under a workers' compensation policy, employees are compensated for occupationally incurred injuries, regardless of fault. This coverage makes employers immune from some injury lawsuits by employees.

Workers' Compensation ing to Florida law (440.12 (2), Florida Statutes), the maximum weekly compensation rate for work-related injuries and illnesses shall be equal to 100 percent of the Statewide average weekly wage, rounded to the nearest dollar.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232