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Fl dwc exempt get 2026

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  1. Click ‘Get Form’ to open the fl dwc exempt get in the editor.
  2. Begin by entering the name of the exemption holder at the top of the form. Ensure that this matches the name on your Certificate of Election to be Exempt.
  3. Select whether you are revoking an exemption for the construction or non-construction industry by checking the appropriate box. Fill in your corporate title if applicable.
  4. Provide details about your corporation or LLC, including its name, address, county, phone number, FEIN, and zip code.
  5. Identify your workers’ compensation insurance carrier by entering its name in the designated field.
  6. Complete the section for the individual requesting revocation by providing their name and signature along with the date signed.

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Related links

Fla. Admin. Code Ann. R. 69L-6.012 - Notice of Election to Be

Certificate holders are also required to print their Form DFS-F4-DWC-252, Certificate of Election to be Exempt from Florida Workers Compensation Law. (9) TheRead more

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DEP 55-241 Workers Compensation Exemption

Less than four (4) employees pursuant to 440.02(17)(a)(2), Florida Statutes. Notice of Election to be Exempt, DWC2 50 or BCM 250 form, filed with the DivisionRead more

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