The florida department of financial services division of workers compensation division is committed to protecting your privacy.
Fldfs workers compensation exemption.
Our goal is to ensure that anyone interested or involved in the florida workers compensation system has the tools and resources they need to participate.
Florida workers compensation uniform medical treatment status report form effective june 25 2006 rev.
If at any time you need assistance with the dwc notice of election to be exempt system you may contact the division s customer.
Employer names reported to the division can vary slightly from those specifically typed on a policy.
The division of workers compensation offers an online system for applicants to apply for or renew a certificate of election to be exempt from florida s workers compensation law modify an exemption application or print their certificate.
It will be updated daily by 8 00 a m.
We assist injured workers employers health care providers and insurers in following the florida workers compensation rules and laws.
The division maintains physical electronic and procedural safeguards to ensure that your private personal information is safe and secure.
Welcome to the division of workers compensation.
The purpose of filing an exemption is for an officer of a corporation or member of a limited liability company to exclude themselves from the workers compensation laws.
Please make a selection from the choices below.
The purpose of the division of workers compensation data portal is to provide you with a collection of search tools in one centralized location.
In some cases it may be later in the day.
With this online system you can apply for or renew an exemption modify your application and print your certificate.
Upon issuance of a certificate of election to be exempt the officer or member is not an employee and may not recover workers compensation benefits.
Workers compensation exemption compliance 850 413 1609.
Therefore it is recommended that employer information be reviewed carefully prior to selecting that.
Division of workers compensation compliance proof of coverage search page this database was last updated monday september 21 2020 12 08 am.
Older data may reflect multiple employer names under the same fein.
Select save target as to save the form as a word document in your personal files.
1 31 2008 to access the form in word format right click the link.
