Florida Regulations 69L-22.011: List of Forms
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(1) The following forms are to be used with this rule chapter and are hereby incorporated by reference:
(a) Form DFS-F3-DWC-23 http://www.flrules.org/Gateway/reference.asp?No=Ref-06694 (Revised: 12/2015), Request for Screening;
(b) Form DFS-F3-DWC-24 http://www.flrules.org/Gateway/reference.asp?No=Ref-06695 (Revised: 12/2015), Department and Student Agreement for Sponsorship of Training and Education;
(c) Form DFS-F3-DWC-26 http://www.flrules.org/Gateway/reference.asp?No=Ref-06696 (Effective: 12/2015), Department and Injured Employee Agreement for the Provision of Contracted Placement Services;
(d) Form DFS-F3-DWC-27 http://www.flrules.org/Gateway/reference.asp?No=Ref-06697 (Effective: 12/2015), Reemployment Services Questionnaire.
(2) Copies of the above forms are available on the Department’s web site at: http://www.myfloridacfo.com/Division/wc/.
Rulemaking Authority 440.491, 440.591 FS. Law Implemented Florida Statutes § 440.491. History-New 7-1-96, Amended 6-26-01, Formerly 38F-55.014, Amended 5-5-04, 5-7-09, Formerly 6A-22.011, Amended 3-31-14, 5-9-16, 9-6-23.
(b) Form DFS-F3-DWC-24 http://www.flrules.org/Gateway/reference.asp?No=Ref-06695 (Revised: 12/2015), Department and Student Agreement for Sponsorship of Training and Education;
(c) Form DFS-F3-DWC-26 http://www.flrules.org/Gateway/reference.asp?No=Ref-06696 (Effective: 12/2015), Department and Injured Employee Agreement for the Provision of Contracted Placement Services;
(d) Form DFS-F3-DWC-27 http://www.flrules.org/Gateway/reference.asp?No=Ref-06697 (Effective: 12/2015), Reemployment Services Questionnaire.
(2) Copies of the above forms are available on the Department’s web site at: http://www.myfloridacfo.com/Division/wc/.
Rulemaking Authority 440.491, 440.591 FS. Law Implemented Florida Statutes § 440.491. History-New 7-1-96, Amended 6-26-01, Formerly 38F-55.014, Amended 5-5-04, 5-7-09, Formerly 6A-22.011, Amended 3-31-14, 5-9-16, 9-6-23.