69L-6.027. Penalty Calculation Worksheet  


Effective on Tuesday, July 18, 2023
  • 1(1) For purposes of calculating penalties to be assessed against employers pursuant to Section 15440.107, F.S., 17the Division shall use Form DFS-F4-1595, 23https://www.flrules.org/Gateway/reference.asp?No=Ref-15434, 25Penalty Calculation Worksheet, revised 01/23, which is hereby incorporated by reference.

    36(2) Copies of Form DFS-F4-1595, Penalty Calculation Worksheet, are available from the Department of Financial Services, Division of Workers’ Compensation, 1579 Summit Lake Drive, Tallahassee, FL 32317.

    63Rulemaking Authority 65440.107, 66440.591 FS. 68Law Implemented 70440.107 FS. 72History–New 12-29-04, Amended 10-18-07, 4-12-15, 3-21-17, 7-18-23.