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The document is a billing form (DFS-F5-DWC-10) from the Florida Department of Financial Services for pharmacists and medical suppliers to request reimbursement for drugs, medical equipment, and supplies related to workers' compensation claims. It outlines the required sections and fields to be completed for drug products and medical supplies, including employee information, prescription details, and provider information.

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What are the requirements for workers compensation in Florida?

In Florida, it is mandatory for employers to enroll in the workers compensation insurance program if they have a minimum of four employees, either part-time or full-time. This includes employees in administration and the corporate office. There are certain exceptions to this rule.

What happens if an employer does not report an accident to workers comp in Florida?

ing to Florida law, employer or carrier penalties for not reporting a timely form, report, or notice required by Workers Compensation include an administrative fine not to exceed $500 for each refusal or failure.

What does Florida DFS do?

The purpose of the Department of Financial Services is to safeguard the integrity of the transactions entrusted to the department and to ensure that every program within the department delivers value to the citizens of Florida by continually improving the efficiency and cost effectiveness of internal management

How long can a workers comp claim stay open in Florida?

If the statute of limitation expires, the injured party loses their right to receive compensation for their sustained injuries. In Florida, the statute of limitations for workers compensation claims is two years from the date of the injury or knowledge of the injury.