 |
Florida Administrative Code (Last Updated: April 18, 2024) |
 |
69. Department of Financial Services |
|
69L. Division of Workers' Compensation |
|
69L-22. Reemployment Services - Workers' Compensation |
1(1) 2The following forms are to be used with this rule chapter and are hereby incorporated by reference:
19(a) 20Form DFS-F3-DWC-23 22http://www.flrules.org/Gateway/reference.asp?No=Ref-06694 24(Revised: 12/2015), 26Request for Screening;
29(b) 30Form DFS-F3-32DWC-24 33http://www.flrules.org/Gateway/reference.asp?No=Ref-06695 35(Revised: 12/2015), 37Department and Student Agreement for Sponsorship of Training and Education;
47(c) Form DFS-F3-DWC-26 50http://www.flrules.org/Gateway/reference.asp?No=Ref-06696 52(Effective: 12/2015), Department and Injured Employee Agreement for the Provision of Contracted Placement Services;
66(d) Form DFS-F3-DWC-27 69http://www.flrules.org/Gateway/reference.asp?No=Ref-06697 71(Effective: 12/2015), Reemployment Services Questionnaire.
76(2) Copies of the above forms are available on the Department’s web site at: http://www.myfloridacfo.com/Division/wc/.
91Rulemaking Authority 93440.491, 94440.591 FS. 96Law Implemented 98440.491 FS. 100History–New 7-1-96, Amended 6-26-01, Formerly 38F-55.014, Amended 5-5-04, 5-7-09, Formerly 1106A-22.011, 111Amended 3-31-14, 5-9-16, 9-6-23.
