(1) Employer’s responsibility: The employer shall report wage information to the claim administrator on Form DFS-F2-DWC-1a, as adopted in Fl. Admin. Code R. 69L-3.025, pursuant to Florida Statutes § 440.14 The employer shall provide the claim administrator all required wage information within 14 days of the employer’s knowledge of a “”lost time”” or a “”medical only to lost time case.””
    (2) Claim administrator’s responsibility: The claim administrator shall compare Forms DFS-F2-DWC-1 and DFS-F2-DWC-1a, as adopted in Fl. Admin. Code R. 69L-3.025, to confirm that the employee name or other identifying information, and the date of injury on the two forms are consistent.
Rulemaking Authority 440.14, 440.185(5), 440.591 FS. Law Implemented 440.12(2), 440.185(5), (9) FS. History-New 1-10-05, Amended 3-16-09, 6-30-14.