PDF
Word
Instructions for Form DFS-F3-DWC-23 Request for Screening - Florida
This document contains official instructions for Form DFS-F3-DWC-23 , Request for Screening - a form released and collected by the Florida Department of Financial Services. An up-to-date fillable Form DFS-F3-DWC-23 is available for download through this link.
FAQ
Q: What is Form DFS-F3-DWC-23?
A: Form DFS-F3-DWC-23 is a request for screening in the state of Florida.
Q: What is the purpose of Form DFS-F3-DWC-23?
A: The purpose of Form DFS-F3-DWC-23 is to request screening for workers' compensation benefits in Florida.
Q: Who should complete this form?
A: This form should be completed by the employee who is seeking workers' compensation benefits.
Q: What information is required on Form DFS-F3-DWC-23?
A: The form requires information about the employee, the employer, the injury or illness, and the medical provider.
Q: Is there a fee for submitting this form?
A: No, there is no fee for submitting Form DFS-F3-DWC-23.
Q: What should I do after completing the form?
A: After completing the form, you should submit it to the Office of Judges of Compensation Claims.
Q: How long does it take to process the form?
A: The processing time may vary, but you will receive a response regarding your request for screening.
Q: Can I appeal the decision made after screening?
A: Yes, you have the right to request a hearing if you disagree with the screening decision.
Q: Who can I contact for more information?
A: For more information, you can contact the Florida Division of Workers' Compensation.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Florida Department of Financial Services.
