Reference Material(s) currently uploaded

69 Department of Financial Services
   69H Division of Risk Management

Total number found: 25
Reference No. Reference Name Link Description
Ref-15370 DFS-D0-850 Coverage Request Form http://www.flrules.org/Gateway/reference.asp?No=Ref-15370
Ref-15371 DFS-D0-852 Certificate of Property Coverage http://www.flrules.org/Gateway/reference.asp?No=Ref-15371
Ref-15372 DFS-D0-853 Certificate of Rental Value Coverage http://www.flrules.org/Gateway/reference.asp?No=Ref-15372
Ref-15373 DFS-D0-854 Notice of Property Loss http://www.flrules.org/Gateway/reference.asp?No=Ref-15373
Ref-15374 DFS-D0-855 Statement – Lighting Loss http://www.flrules.org/Gateway/reference.asp?No=Ref-15374
Ref-15375 DFS-D0-856 Certificate of Proof of Loss http://www.flrules.org/Gateway/reference.asp?No=Ref-15375
Ref-15476 DFS-D0-261 Automobile Accident Report http://www.flrules.org/Gateway/reference.asp?No=Ref-15476 DFS-D0-261 Automobile Accident Report
Ref-15477 DFS-D0-280 Release of All Claims http://www.flrules.org/Gateway/reference.asp?No=Ref-15477 DFS-D0-280 Release of All Claims
Ref-15478 DFS-D0-281 Claim for NO FAULT Benefits http://www.flrules.org/Gateway/reference.asp?No=Ref-15478 DFS-D0-281 Claim for NO FAULT Benefits
Ref-15479 DFS-D0-283 Wage and Salary Verification http://www.flrules.org/Gateway/reference.asp?No=Ref-15479 DFS-D0-283 Wage and Salary Verification
Ref-15480 DFS-D0-858 Safety Coordinator Appointment Form http://www.flrules.org/Gateway/reference.asp?No=Ref-15480 DFS-D0-858 Safety Coordinator Appointment Form
Ref-15482 DFS-DO-863 General Liability Certificate of Coverage http://www.flrules.org/Gateway/reference.asp?No=Ref-15482 DFS-DO-863 General Liability Certificate of Coverage
Ref-15483 DFS-D0-864 Automobile Liability Certificate of Coverage http://www.flrules.org/Gateway/reference.asp?No=Ref-15483 DFS-D0-864 Automobile Liability Certificate of Coverage
Ref-15484 DFS-D0-866 Mileage Reimbursement http://www.flrules.org/Gateway/reference.asp?No=Ref-15484 DFS-D0-866 Mileage Reimbursement
Ref-15485 DFS-D0-867 State Risk Management Trust Fund State Employee Workers' Compensation and Employer's Liability Certificate of Coverage http://www.flrules.org/Gateway/reference.asp?No=Ref-15485 DFS-D0-867 State Risk Management Trust Fund State Employee Workers' Compensation and Emplo...
Ref-15486 DFS-D0-1401 Account Design http://www.flrules.org/Gateway/reference.asp?No=Ref-15486 DFS-D0-1401 Account Design
Ref-15487 DFS-D0-1403 General Liability Loss Report http://www.flrules.org/Gateway/reference.asp?No=Ref-15487 DFS-D0-1403 General Liability Loss Report
Ref-15488 DFS-D0-1408 Release for Property Damage Only http://www.flrules.org/Gateway/reference.asp?No=Ref-15488 DFS-D0-1408 Release for Property Damage Only
Ref-15489 DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire http://www.flrules.org/Gateway/reference.asp?No=Ref-15489 DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Ref-15490 DFS-D0-1991 Medicare Beneficiary Eligibility Information http://www.flrules.org/Gateway/reference.asp?No=Ref-15490 DFS-D0-1991 Medicare Beneficiary Eligibility Information
Ref-15491 DFS-D0-1992 Firefighter Cancer Benefit Information Form http://www.flrules.org/Gateway/reference.asp?No=Ref-15491 DFS-D0-1992 Firefighter Cancer Benefit Information Form
Ref-15492 DFS-D0-1994 Certificate of Coverage Firefighter Cancer http://www.flrules.org/Gateway/reference.asp?No=Ref-15492 DFS-D0-1994 Certificate of Coverage Firefighter Cancer
Ref-15493 DFS-D0-861 Exposure Base Inquiry Survey http://www.flrules.org/Gateway/reference.asp?No=Ref-15493 DFS-D0-861 Exposure Base Inquiry Survey
Ref-15494 DFS-D0-865 Federal Civil Rights Liability and Employment Discrimination Certificate of Coverage http://www.flrules.org/Gateway/reference.asp?No=Ref-15494 DFS-D0-865 Federal Civil Rights Liability and Employment Discrimination Certificate of Cov...
Ref-15495 DFS-D0-1993 Claim Investigation Report Form http://www.flrules.org/Gateway/reference.asp?No=Ref-15495 DFS-D0-1993 Claim Investigation Report Form