State of florida department of workers comp
[DOC File]Shelly's Letterhead - Virginia Workers' Compensation ...
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The Florida Division of Workers’ Compensation is conducting an outreach campaign to educate interested parties about the workers’ compensation coverage and compliance requirements for out-of-state contractors coming to Florida to assist in the recovery efforts due to Hurricane Irma. Out-of-state contractors must adhere to the following Florida’s workers’ compensation requirements and ...
[DOC File]Certification of Servicing for Self-Insurers
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FSIGA MEMBER: Florida Self-Insurers Guaranty Association, Inc., 1427 East Piedmont Drive, 2nd Floor, Tallahassee, Florida 32308. GOVERNMENTALS: Division of Workers’ Compensation, Bureau of Monitoring and Audit, Self-Insurance Section, 200 East Gaines Street, Tallahassee, Florida 32399-4224. Form DFS-F2-SI-19 (8/2009)
[DOC File]WAGE STATEMENT - PGCS
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FLORIDA DEPARTMENT OF FINANCIAL SERVICES. DIVISION OF WORKERS' COMPENSATION. NOTICE TO EMPLOYEE: If you have any questions about the information contained on this form, please contact your employer or claim-handling entity. If further assistance is needed, contact the Division's Employee Assistance Office at 1-800-342-1741. RECEIVED BY CLAIMS-HANDLING ENTITY …
[DOC File]APPLICATION FOR DRUG-FREE WORKPLACE PREMIUM CREDIT …
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: If you have a Drug-Free Workplace Program established and maintained in accordance with Florida law, and you would like to apply for the 5% premium credit that is available, please complete this form and forward it to the Assessments Section, Division of Workers’ Compensation, 200 East Gaines Street, Tallahassee, Fl., 32399-4221. Re-certification is required annually.
[DOCX File]City of Lakeland
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The Florida Workers’ Compensation Program pays medical and disability benefits when an injury or illness arises “out of and in the course of” employment. Workers’ Compensation is regulated by the state of Florida, and the benefits are set by law. Your Workers’ Compensation Program. Under the Florida Workers’ Compensation law, the City of Lakeland is operating a Workers ...
[DOC File]DEPARTMENT OF TRANSPORTATION Statewide Safety and Health ...
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Bureau of State Employees' Workers' Compensation Claims . Lisel M. Laslie (Lisel.Laslie@fldfs.com) First Report of Injury: When an employee is injured at work, by statute they have 30 days to report the claim to the employer. Failure to report the claim within the 30 days may be used as a defense against the claim regardless of the two-year statute of limitations for filing a claim. As ...
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