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Florida Administrative Code

Chapter 69L-3

Fla. Admin. Code Ch. 69L-3

Workers' Compensation Claims

69L-3.001Purpose (Repealed)Repealed 69L-3.002Definitions 69L-3.003Procedures for Filing Documents 69L-3.0033Electronic Filing of Workers' Compensation Forms (Transferred)Repealed 69L-3.0035Injured Worker Informational Brochure 69L-3.0036Employer Informational Brochure 69L-3.004First Report of Injury or Illness: Employer's Responsibility to Record and Report Accidents (Transferred)Repealed 69L-3.0045First Report of Injury or Illness: Claim Administrator's Responsibility to Record and Report Accidents (Transferred)Repealed 69L-3.0046Wage Statement: Employer's and Claim Administrator's Responsibility to Record and Report Wages 69L-3.0047Fraud Statement 69L-3.009Injuries that Qualify as Grievous Bodily Harm of a Nature that Shocks the Conscience 69L-3.0091Notice of Action/Change (Transferred)Repealed 69L-3.012Notice of Denial (Transferred)Repealed 69L-3.016Claim Cost Report 69L-3.017Notice of Apportionment of Medical Reimbursement Due to a Pre-Existing Condition(s)69L-3.018Wage Loss Benefits Due to Permanent Impairment (Dates of Accident August 1, 1979 through December 31, 1993) (Repealed)Repealed 69L-3.019Wage Loss Benefits for Temporary Partial Disability (Dates of Accident August 1, 1979 through December 31, 1993) (Repealed)Repealed 69L-3.0191Temporary Disability Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed)Repealed 69L-3.01915Temporary Partial Disability Benefits (Dates of Accident on or After October 1, 2003)69L-3.0192Impairment Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed)Repealed 69L-3.01925Impairment Income Benefits (Dates of Accident on or After October 1, 2003)69L-3.0193Supplemental Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed)Repealed 69L-3.0194Permanent Total and Permanent Total Supplemental Benefits for Dates of Accident Prior to October 1, 2003 69L-3.01945Permanent Total and Permanent Total Supplemental Benefits for Dates of Accident on or After October 1, 2003 69L-3.021Additional Income Source Reports 69L-3.0213Aggregate Claims Administration Change Report (Repealed)Repealed 69L-3.025Forms