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 Florida
Worker's Compensation
Automated
Forms Package includes everything you need:
AFSU-10
Financial Affidavit
DWC-1
First Report of Injury
DWC-1a
Wage Statement
DWC-3
Request for Wage Loss/Temp Partial Benefits
DWC-4
Notice of Action/Change
DWC-8
Notification of Initial Treatment
DWC-10
Statement of Charges for Drugs and Medical Supplies
DWC-12
Notice of Denial
DWC-13
Claim Cost Report
DWC-14
Request for SS Disability Benefit Info
DWC-19
Employee Earnings Report
DWC-21
Re-employment Services Billing Form
DWC-22
Re-employment Status Review Form
DWC-23
Request for Screening
DWC-30
Authorization and Request for Unemployment
DWC-33
Permanent Total Off-Set Worksheet
DWC-35
Permanent Total Supplemental Worksheet
DWC-40
Statement of Quarterly Earnings for Supplemental Income Benefits
DWC-48
Monthly Risk Class Standard Industrial Classification Code Report
DWC-49
Aggregate Claims Administration Change Report
DWC-51
Aggregate Defense Attorney Fee Report
EAO-1
Request for Assistance
PFB-B94W
Petition for Benefits
SDF-1
Proof of Claim
SDF-2
Reimbursement Request
Our
software development team is continually working to improve and
enhance our automated forms packages. If you are aware of a form
that would make a positive addition to the above list, we'd love to
hear about it! Please call us toll-free or email
the information.
For
immediate answers to your questions or to expedite an order, please
call us toll-free 1-800-556-7526, extension 1008.
Pricing can be found on our secure
ShopSite by clicking on the blue "Order Now" button. Promotions are
currently running -- call the toll-free number above for details. | 
