Fl dwc exempt get 2026

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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