Florida Workers Comp Forms

Find Florida workers compensation forms and coverage guides.

Welcome to our Florida forms library. We make every effort to keep our forms library up to date with the latest FL Forms but can't guarantee the latest forms required by the state are the most current version.

Florida utilizes a special Acord 130 workers comp application which is different than any other state in the U.S. We offer easy access to our free Florida forms for employers and recommend that policy holders apply for safety and drug credits available in the state of Florida whenever possible.

Give us a call at 888-611-7467, or complete one of our online forms for more help with Florida workers compensation coverage.

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Florida Workers Compensation Insurance Forms

Florida Acord 130 Workers Compensation Application

The State specific workers compensation application for Florida Employers.

Florida Notice of Election of Coverage for Individual or Partner

Use this form if you are a sole proprietor or partnership and you are electing to be covered under your work comp policy. The state is charging a $50 fee to file the notice.

FL Notice of Election to be Exempt

Effective July 1st, 2012, Florida now requires that employers file their Notice of Election to be Exempt online with the FL Division of Workers Compensation.  The link above will take you to the electronic form.

Florida Application for Drug Free Credit Program

Employers with qualified drug free workplace programs will be eligible for a 5% premium credit on their policy.  Annual re-certification is required.

Authorized Labs for Drug Free Workplace Testing

List of authorized labs who can provide work-related drug testing.

FL Application Form for Employer Workplace Safety Credit

Employers who certify that they have a qualified Safety Program in place will be eligible to receive a 2% premium credit from their insurance company.

Florida Workers Compensation System Guide

Provides a general overview of the FL work comp system including information for employees, employers, and insurance companies.

Dividend Program for Florida

Several Florida carriers offer a dividend program for employers with more than $30,000 in audited premium.

State Resources for Florida

Rating Bureau: NCCI

901 Peninsula Corporate Circle
Boca Raton, FL 33487-1362
800-622-4123
NCCI

Florida Department of Financial Services

200 E. Gaines Street
Tallahassee, FL 32399
800-342-2762

Florida Division of Workers' Compensation

2012 Capitol Circle
SE Hartman Building
Tallahassee, Florida 32399-0680
850-921-6966
FL Division of Workers Compensation

Workers compensation insurance is required by law for Florida employers.

Florida forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Florida.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.
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