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Florida Forms

105 State Forms found

name	number	revision	print or send online
CLAIM COST REPORT	Form DFS-F2-DWC-13	(03/2009)
FIRST REPORT OF INJURY OR ILLNESS	Form DFS-F2-DWC-1	(10/2016)
PROOF OF CLAIM	Form DFS-F1-SDF-1	(Rev. 3/09)
AGGREGATE CLAIMS ADMINISTRATION CHANGE REPORT	Form DFS-F2-DWC-49	(03/2009)
AN EMPLOYER’S GUIDE TO A DRUG-FREE WORKPLACE	No Form Number	Revised September 2020
APPLICATION FOR DRUG-FREE WORKPLACE PREMIUM CREDIT PROGRAM	Form 09-01A	Copyright 2019
APPLICATION FOR GOVERNMENTAL SELF-INSURANCE	Form DFS-F2-SI-1G	(8/2009)
APPLICATION FOR GOVERNMENTAL SELF-INSURANCE ESTIMATED PAYROLL	Form DFS-F2-SI-GEP	(8/2009)
APPLICATION FOR SELF INSURANCE	Form DFS-F2-SI-1	(8/2009)
AUTHORIZATION AND REQUEST FOR UNEMPLOYMENT COMPENSATION INFORMATION	Form DFS-F2-DWC-30	03/2009
BIOGRAPHICAL STATEMENT AND AFFIDAVIT	FORM DFS-F2-SI-27	8/2009
CARRIER RESPONSE TO PETITION FOR RESOLUTION OF REIMBURSEMENT DISPUTE	DFS-F6-DWC-3160-0024	(Effective 07/2021)
CERTIFICATION OF SERVICING FOR SELF-INSURERS	Form DFS-F2-SI-19	(8/2009)
EDI TRADING PARTNER INSURER/CLAIM ADMINISTRATOR ID LIST	DFS-F5-DWC-EDI-2	(10/1/2006)
EDI TRADING PARTNER PROFILE	DFS-F5-DWC-EDI-1	(1/01/2008)

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Disclaimer: These forms may not be the most recent version. Florida may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

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