Frequently Asked Questions - Florida Department of Financial Services 2026

1. Click ‘Get Form’ to open the Frequently Asked Questions - Florida Department of Financial Services document in the editor.
2. Begin by entering the employee's name and mailing address in the designated fields. Ensure accuracy as this information is crucial for processing.
3. Fill in the Non-Claim Employer’s Business Name and Mailing Address. This section is important for identifying all employers involved at the time of injury.
4. Indicate whether the employee was working for the Non-Claim Employer on the date of injury by selecting 'YES' or 'NO'.
5. Complete the wage statement by reporting gross wages earned during the specified periods. Use all available columns to ensure comprehensive reporting.
6. Certify that all information provided is complete and accurate by signing and dating where indicated. If someone else submits the form, include their name as well.

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