Florida Regulations 69H-2.009: Florida Motor Vehicle No-Fault Forms
Current as of: 2024 | Check for updates
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(1) The following forms are incorporated herein by reference. These forms shall be used to aid the Division in the performance of its administrative duties by securing pertinent facts and information on Florida Motor Vehicle No-Fault claims filed against the Fund, as the circumstances may require:
(a) DFS-D0-281, “”Claim for ‘No-Fault’ Benefits,”” (Effective 07/23), http://www.flrules.org/Gateway/reference.asp?No=Ref-15478.
(b) DFS-D0-283, “”Wage and Salary Verification,”” (Effective 07/23), http://www.flrules.org/Gateway/reference.asp?No=Ref-15479.
(2) Copies of these forms are available from the Division of Risk Management, Department of Financial Services, 200 East Gaines Street, Tallahassee, Florida 32399-0300, or at https://myfloridacfo.com/Division/Risk/.
Rulemaking Authority 284.30, 284.31, 284.39, 627.730 FS. Law Implemented 284.30, 284.31 FS. History-New 6-28-01, Formerly 4H-2.009, Amended 7-18-23.
(a) DFS-D0-281, “”Claim for ‘No-Fault’ Benefits,”” (Effective 07/23), http://www.flrules.org/Gateway/reference.asp?No=Ref-15478.
(b) DFS-D0-283, “”Wage and Salary Verification,”” (Effective 07/23), http://www.flrules.org/Gateway/reference.asp?No=Ref-15479.
(2) Copies of these forms are available from the Division of Risk Management, Department of Financial Services, 200 East Gaines Street, Tallahassee, Florida 32399-0300, or at https://myfloridacfo.com/Division/Risk/.
Rulemaking Authority 284.30, 284.31, 284.39, 627.730 FS. Law Implemented 284.30, 284.31 FS. History-New 6-28-01, Formerly 4H-2.009, Amended 7-18-23.