Brochures / Forms / Posters: General

130FL111.jpg

Anti-Fraud Reward Program Notice

Poster

State of Florida - Division of Workers' Compensation

130FL111.jpg

Broken Arm - Poster - English

Poster - March 2010

State of Florida - Division of Workers' Compensation

130FL111.jpg

Broken Arm - Poster - Spanish

Poster - March 2010

State of Florida - Division of Workers' Compensation

130FL111.jpg

Comparing the Premium Cost of Workers’ Compensation

Brochure- March 2015

David W. Langham

130FL111.jpg

Employee Earnings Report

Form - March 2009

State of Florida - Division of Workers' Compensation

130FL111.jpg

ERM-14 - Confidential Request for Ownership Information

Form - December 2003

NCCI

130FL111.jpg

Experience Rating for Former Clients of Labor Contractors

Form - August 2004

NCCI

130FL111.jpg

First Report of Injury or Illness

Form - March 2009

State of Florida - Division of Workers' Compensation

130FL111.jpg

Florida Contracting Classification Premium Adjustment Program - FCCPAP

Form - 2010

NCCI

130FL111.jpg

FL WC Uniform Medical Treatment/Status Reporting Form

Form - May 2005

State of Florida - Division of Workers' Compensation

130FL111.jpg

Fraud - English/Spanish

Poster - May 2014

Summit Holdings

130FL111.jpg

Fraud Brochure - English

Brochure - July 2011

State of Florida - Division of Workers' Compensation

130FL111.jpg

Fraud Brochure - Spanish

Brochure - July 2011

State of Florida - Division of Workers' Compensation

130FL111.jpg

In Case of an Accident - English/Spanish

Poster - May 2014

Summit Holdings

130FL111.jpg

Key Coverage and Exemption Eligibility Requirements

Brochure - August 2014

State of Florida - Division of Workers' Compensation

130FL111.jpg

Notice of Election of Coverage

Form - December 2008

State of Florida - Division of Workers' Compensation

130FL111.jpg

Notice of Election to be Exempt

Form

State of Florida - Division of Workers' Compensation

130FL111.jpg

Revocation of Election of Coverage

Form

State of Florida - Division of Workers' Compensation

130FL111.jpg

Revocation of Election to be Exempt

Form - August 2013

State of Florida - Division of Workers' Compensation

130FL111.jpg

Wage Statement

Form - March 2009

State of Florida - Division of Workers' Compensation

130FL111.jpg

Workers' Compensation Information for Employers - English

Brochure - March 2010

State of Florida - Division of Workers' Compensation

130FL111.jpg

Workers' Compensation Information for Employers - Spanish

Brochure - March 2010

State of Florida - Division of Workers' Compensation

130FL111.jpg

Workers' Compensation Information for Florida's Workers' - English

Brochure - March 2010

State of Florida - Division of Workers' Compensation

130FL111.jpg

Workers' Compensation Information for Florida's Workers' - Spanish

Brochure - March 2010

State of Florida - Division of Workers' Compensation

130FL111.jpg

Workers' Compensation Reemployment Services Brochure

Brochure

State of Florida - Division of Workers' Compensation