Get Fl Dfs-f2-dwc-250-r 2013-2025

The FL DFS-F2-DWC-250-R form, known as the Notice of Revocation of Election to be Exempt, is a vital document for those wishing to revoke their exemption status in Florida. This guide provides a clear, step-by-step approach for completing the form online, ensuring a smooth filing process.

Follow the steps to complete the FL DFS-F2-DWC-250-R form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Identify the exemption holder's name. This must be the individual or corporate officer who is listed on the Certificate of Election to be Exempt.
3. Indicate the type of industry by checking the appropriate box: Construction Industry or Non-Construction Industry and specify whether you are a Corporate Officer or a Member of a Limited Liability Company.
4. Fill in the Corporation or Limited Liability Company name as it appears in official records.
5. Provide the exemption holder’s address of record, including street address, city, state, zip code, and county.
6. Enter the phone number of the exemption holder in the designated field.
7. Input the Federal Employer Identification Number (FEIN) if available.
8. Include the document number that is on file with the Division of Corporations.
9. Identify the workers’ compensation insurance carrier that covers any non-exempt employees associated with the business by filling in the carrier's name.
10. Enter the name of the individual requesting the revocation, ensuring accurate spelling.
11. Provide the signature of the individual requesting the revocation and include the date signed.
12. Review all entries for accuracy, then save your changes. You can now download, print, or share the completed form as needed.

Complete your documents online today for a streamlined process.