| Reference No. |
Reference Name |
Link |
Description |
| Ref-00278 |
Dorm DFS-DWC-2000 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-00278 |
Form Adopted in Rule 69L-34.003, F.A.C.
|
| Ref-00686 |
Florida Workers’ Compensation Reimbursement Manula for Ambulatory Surgical Centers, 2011 Edition |
http://www.flrules.org/Gateway/reference.asp?No=Ref-00686 |
Manual for Rule 69L-7.100, F.A.C.
|
| Ref-01705 |
HEALTH CARE PROVIDER CERTIFICATION TUTORIAL |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01705 |
Tutorial for 69L-29.001, F.A.C.
|
| Ref-02937 |
Form DFS-F2-DWC-250 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-02937 |
|
| Ref-02938 |
Form DFS-F2-DWC-250R |
http://www.flrules.org/Gateway/reference.asp?No=Ref-02938 |
|
| Ref-02939 |
Form DFS-F2-DWC-251 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-02939 |
|
| Ref-02940 |
Form DFS-F2-DWC-251R |
http://www.flrules.org/Gateway/reference.asp?No=Ref-02940 |
|
| Ref-02941 |
Form DFS-F2-DWC-252 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-02941 |
|
| Ref-04109 |
Hospital Manual |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04109 |
|
| Ref-04178 |
DFS-F7-2133 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04178 |
Please note: there are four (4) sheets in the one (1) workbook.
|
| Ref-04179 |
DFS-F2-DWC-61 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04179 |
|
| Ref-04715 |
Form DFS-F2-DWC-250 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04715 |
|
| Ref-05165 |
DFS-F4-1595 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05165 |
|
| Ref-05618 |
2015 HCP Manual |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05618 |
|
| Ref-05739 |
Payment Agreement Schedule for Periodic Payment of Penalty |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05739 |
|
| Ref-05740 |
Payment Agreement Schedule for Periodic Payment of Penalty for Order of Penalty Assessment |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05740 |
|
| Ref-05741 |
Monthly Payment Installment Invoice |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05741 |
|
| Ref-05742 |
Agreed Order of Conditional Release from Stop-Work Order |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05742 |
|
| Ref-05794 |
ASC 2015 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05794 |
|
| Ref-05965 |
DWC Expert Medical Advisor Certification Portal |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05965 |
|
| Ref-06181 |
Rule69L7710 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06181 |
|
| Ref-06182 |
69L7720 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06182 |
|
| Ref-06183 |
69L7730 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06183 |
|
| Ref-06184 |
69L7740 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06184 |
|
| Ref-06185 |
Florida Medical EDI Implementation Guide |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06185 |
|
| Ref-06186 |
DFS-F5-DWC-9-A |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06186 |
|
| Ref-06187 |
DFS-F5-DWC-9-B |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06187 |
|
| Ref-06188 |
DFS-F5-DWC-9-C |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06188 |
|
| Ref-06189 |
DFS-F5-DWC-10 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06189 |
|
| Ref-06190 |
DFS-F5-DWC-10-A |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06190 |
|
| Ref-06191 |
DFS-F5-DWC-11-A |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06191 |
|
| Ref-06192 |
DFS-F5-DWC-25 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06192 |
|
| Ref-06193 |
DFS-F5-DWC-25-A |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06193 |
|
| Ref-06194 |
DFS-F5-DWC-90-A (UB-04) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06194 |
|
| Ref-06195 |
DFS-F5-DWC-90-B (UB-04) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06195 |
|
| Ref-06196 |
DFS-F5-DWC-90-C (UB-04) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06196 |
|
| Ref-06197 |
DFS-F5-DWC-90-D (UB-04) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06197 |
|
| Ref-06694 |
Form DFS-F3-DWC-23 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06694 |
|
| Ref-06695 |
Form DFS-F3-DWC-24 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06695 |
|
| Ref-06696 |
Form DFS-F3-DWC-26 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06696 |
|
| Ref-06697 |
Form DFS-F3-DWC-27 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06697 |
|
| Ref-07685 |
Florida Workers’ Compensation Health Care Provider Reimbursement Manual |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07685 |
|
| Ref-08041 |
DFS-F4-1595, Penalty Calculation Worksheet |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08041 |
DFS-F4-1595
Penalty Calculation Worksheet
|
| Ref-08174 |
DFS-F2-2192, Expert Medical Advisor Certification |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08174 |
DFS-F2-2192, Expert Medical Advisor Certification
|
| Ref-13337 |
DFS-F6-DWC-3160-0023 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13337 |
|
| Ref-13338 |
DFS-F6-DWC-3160-0024 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13338 |
|
| Ref-13906 |
DFS-F4-1548 Broken Arm Poster (English) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13906 |
Broken Arm Poster (English)
|
| Ref-13907 |
DFS-F4-2026 Broken Arm Poster (Spanish) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13907 |
Broken Arm Poster (Spanish)
|
| Ref-14431 |
DFS-F4-1603 Anti-Fraud Notice (English) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-14431 |
|
| Ref-14432 |
DFS-F4-1604 Anti-Fraud Notice (Spanish) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-14432 |
|
| Ref-15430 |
DFS-F4-DWC-250 - Notice of Election to be Exempt |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15430 |
DFS-F4-DWC-250 - Notice of Election to be Exempt
|
| Ref-15431 |
DFS-F4-DWC-251 Notice of Election of Coverage |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15431 |
DFS-F4-DWC-251 Notice of Election of Coverage
|
| Ref-15432 |
DFS-F4-DWC-251-R - Revocation of Election of Coverage |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15432 |
DFS-F4-DWC-251-R - Revocation of Election of Coverage
|
| Ref-15433 |
DFS-F4-DWC-252 - Certificate of Election to be Exempt from Florida Workers' Compensation Law |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15433 |
DFS-F4-DWC-252 - Certificate of Election to be Exempt from Florida Workers' Compensation L...
|
| Ref-15434 |
DFS-F4-1595 - Penalty Calculation Worksheet |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15434 |
DFS-F4-1595 - Penalty Calculation Worksheet
|
| Ref-15435 |
DFS-F4-1600-A - Payment Agreement Schedule for Periodic Payment of Penalty |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15435 |
DFS-F4-1600-A - Payment Agreement Schedule for Periodic Payment of Penalty
|
| Ref-15436 |
DFS-F4-1600-B - Payment Agreement Schedule for Periodic Payment of Penalty for Order of Penalty Assessment |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15436 |
DFS-F4-1600-B - Payment Agreement Schedule for Periodic Payment of Penalty for Order of Pe...
|
| Ref-15437 |
DFS-F4-1602 - Agreed Order of Conditional Release from Stop-Work Order |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15437 |
DFS-F4-1602 - Agreed Order of Conditional Release from Stop-Work Order
|
| Ref-15498 |
Form I-9, Employment Eligibility Verification |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15498 |
Department of Homeland Security, U.S. Citizenship and Immigration Services’ Form I-9, Empl...
|