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Florida Administrative Code (Last Updated: October 28, 2024) |
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69. Department of Financial Services |
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69L. Division of Workers' Compensation |
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69L-31. Utilization And Reimbursement Dispute Rules |
1(1) The Petitioner may voluntarily withdraw its Petition Form prior to the conclusion of a final hearing or the issuance of a final order, whichever occurs first, or participate in an informal disposition under Section 36120.57(4), F.S.
38(2) The withdrawal must be in writing and must clearly indicate:
49(a) The case number assigned by the Department; or
58(b) The name of the Petitioner requesting withdrawal, the name of the Carrier against which the Reimbursement Dispute has been initiated, the date(s) of service identified on the 86Petition Form, and the identity of the injured employee to whom medical services were delivered.
101(3) Upon the Department’s receipt of a written request for withdrawal of a Petition Form, the Department will close its file on the matter without further action.
128Rulemaking 129Authority 130440.13(7)(e), 131440.591 FS. 133Law Implemented 135440.13(7), 136(11) FS. History–New 11-28-06, Formerly 14159A-31.013, 142Amended 8-2-21.
