69L-10.019, F.A.C.
69L-10.019. Forms
Cite as Fla. Admin. Code r. 69L-10.019
The following forms are incorporated by reference into these rules and are available from and shall be filed with: SDTF, Division of Workers’ Compensation, 1579 Summit Lake Drive, Tallahassee, FL 32317.
(1) DFS Form DFS-F1-SDF-1 – Proof of Claim (Rev. 3/09).
(2) DFS Form DFS-F1-SDF-2 –Reimbursement Request (Rev. 3/09).