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Workers Comp Forms for FL

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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 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.

Guarantee Insurance company Dividend Program for Florida

Guarantee Insurance Company offers a dividend program for employers with more than $30,000 in audited premium.



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Florida Notice Requirement

The "Broken Arm Poster" and the "Anti-Fraud Notice" should be posted in a conspicuous place and should identify the name of the insurance company providing coverage and where to call to report an accident or injury. The employer should contact the insurance company to obtain the poster and the notice.


Owner Exemption Requirements

Notice of Election to be Exempt. An officer of a corporation who elects exemption must file a certificate of election under this section may not recover benefits or compensation under this chapter. For purposes of determining the appropriate premium for workers' compensation coverage, carriers may not consider any officer of a corporation who validly meets the requirements of this section to be an employee.


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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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Learn more about workers compensation insurance in Florida Work Comp:   Florida | FL Programs| FL Rates | FL Forms | FL Info | FL Quotes
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We've got a ton of insurance partners in the state of Florida, representing a broad and diverse book of industries and business types. We work with a number of companies in Florida including restaurants, home health care, auto repair, and contractors.

Give one of our Florida workers compensation Specialists a call today at 888-611-7467 for a free, no-obligation quote on workers compensation insurance.

Florida Agency License: LO56102
National Producer Number: 5064979

Contact a Florida Workmans Comp Specialist