(1) The civil remedy notice required by Florida Statutes § 624.155, shall be electronically submitted on Form DFS-10-363, “Civil Remedy Notice of Insurer Violation,” (Effective 10-14-08), which is hereby adopted and incorporated by reference. The form shall be submitted to the Department of Financial Services, Bureau of Consumer Assistance, through the website at https://apps.fldfs.com/civilremedy. No fee is required.
    (2) Authorized insurer reports to the Department as required by section 624.155(3)(e), F.S., regarding the disposition of the alleged violation shall be electronically added to the existing Form DFS-10-363 specific to the notice being addressed.
    (3) Any written communications between the parties to the civil remedy notice, which are intended for inclusion in the Department’s electronic record, shall be electronically added to the existing Form DFS-10-363 specific to the notice being addressed.
Rulemaking Authority Florida Statutes § 624.308(1). Law Implemented 624.307, 624.155(3)(b) FS. History—New 10-14-08, Amended 12-27-09.