69L-22.011, F.A.C.

69L-22.011. List of Forms

Last amended: 2026Year: 2026Length: 85 wordsOfficial source

Cite as Fla. Admin. Code r. 69L-22.011

(1) The following forms are to be used with this rule chapter and are hereby incorporated by reference: (a) Form DFS-F3-DWC-23 http://www.flrules.org/Gateway/reference.asp?No=Ref-06694 (Revised: 12/2015), Request for Screening; (b) Form DFS-F3-DWC-24 http://www.flrules.org/Gateway/reference.asp?No=Ref-06695 (Revised: 12/2015), Department and Student Agreement for Sponsorship of Training and Education; (c) Form DFS-F3-DWC-26 http://www.flrules.org/Gateway/reference.asp?No=Ref-06696 (Effective: 12/2015), Department and Injured Employee Agreement for the Provision of Contracted Placement Services; (d) Form DFS-F3-DWC-27 http://www.flrules.org/Gateway/reference.asp?No=Ref-06697 (Effective: 12/2015), Reemployment Services Questionnaire. (2) Copies of the above forms are available on the Departmentโ€™s web site at: http://www.myfloridacfo.com/Division/wc/.
69L-22.011, F.A.C.: 69L-22.011. List of Forms | Justis AI