Florida workers compensation reporting 2025

1. Click ‘Get Form’ to open the Florida Workers Compensation Reporting form in the editor.
2. Begin by entering your Employer Name and Address, along with your Policy Number and Payroll Period. Ensure that you also include your Employer FEIN.
3. In the first section, list each employee's name, their job description, and all earnings including salaries, wages, overtime, and any other compensations. Remember to exclude any officer or owner salaries from this section.
4. For officers or managing members, provide their Title, Name, Specific Duties, and actual earnings in the designated fields. Attach additional sheets if necessary.
5. Answer the additional questions regarding overtime pay, lodging provided to employees, and tips received. Make sure to indicate whether these amounts are included in your payroll figures.
6. Finally, sign the form certifying that all information is accurate. Include the date and ensure you have a notary if required.

Start filling out your Florida Workers Compensation Reporting form online for free today!