69L-3.0046. Wage Statement: Employer's and Claim Administrator's Responsibility to Record and Report Wages  


Effective on Monday, June 30, 2014
  • 1(1) Employer’s responsibility: The employer shall report wage information to the claim administrator on Form DFS-F2-DWC-1a, as adopted in Rule 2169L-3.025, 22F.A.C., pursuant to Section 26440.14, F.S. 28The employer shall provide the claim administrator all required wage information within 14 days of the employer’s knowledge of a “lost time” or a “medical only to lost time case”.

    58(2) Claim administrator’s responsibility: The claim administrator shall compare Forms DFS-F2-DWC-1 and DFS-F2-DWC-1a, as adopted in Rule 7569L-3.025, 76F.A.C., to confirm that the employee name or other identifying information, and the date of injury on the two forms are consistent.

    98Rulemaking Authority 100440.14, 101440.185(5), 102440.591 FS. 104Law Implemented 106440.12(2), 107440.185(5), 108(9) FS. History–New 1-10-05, Amended 3-16-09, 6-30-14.

     

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