Florida Regulations 69L-10.019: Forms
Current as of: 2024 | Check for updates
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The following forms are incorporated by reference into these rules and are available from and shall be filed with: SDTF, Division of Workers’ Compensation, 1579 Summit Lake Drive, Tallahassee, FL 32317.
(1) DFS Form DFS-F1-SDF-1 – Proof of Claim (Rev. 3/09).
(2) DFS Form DFS-F1-SDF-2 -Reimbursement Request (Rev. 3/09).
Rulemaking Authority 440.49(7), 440.591 FS. Law Implemented Florida Statutes § 440.49. History-New 4-19-92, Amended 8-18-93, Formerly 38F-10.019, 4L-10.019, Amended 3-16-09.
(2) DFS Form DFS-F1-SDF-2 -Reimbursement Request (Rev. 3/09).
Rulemaking Authority 440.49(7), 440.591 FS. Law Implemented Florida Statutes § 440.49. History-New 4-19-92, Amended 8-18-93, Formerly 38F-10.019, 4L-10.019, Amended 3-16-09.