Form DFS-F3-DWC-23 Request for Screening - Florida

Form DFS-F3-DWC-23 Request for Screening - Florida

What Is Form DFS-F3-DWC-23?

This is a legal form that was released by the Florida Department of Financial Services - a government authority operating within Florida. Check the official instructions before completing and submitting the form.

FAQ

Q: What is the purpose of Form DFS-F3-DWC-23?
A: Form DFS-F3-DWC-23 is used to request a screening in Florida.

Q: Who should use Form DFS-F3-DWC-23?
A: Anyone who wants to request a screening in Florida should use this form.

Q: How can I obtain Form DFS-F3-DWC-23?
A: You can obtain Form DFS-F3-DWC-23 from the Florida Division of Workers' Compensation.

Q: What information do I need to provide on Form DFS-F3-DWC-23?
A: You need to provide your personal information, details about your workers' compensation claim, and the reason for your screening request.

Q: Are there any fees associated with submitting Form DFS-F3-DWC-23?
A: No, there are no fees associated with submitting this form.

Q: What happens after I submit Form DFS-F3-DWC-23?
A: After you submit this form, the Florida Division of Workers' Compensation will review your request and schedule a screening if necessary.

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Form Details:

  • Released on December 1, 2015;
  • The latest edition provided by the Florida Department of Financial Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DFS-F3-DWC-23 by clicking the link below or browse more documents and templates provided by the Florida Department of Financial Services.

Download Form DFS-F3-DWC-23 Request for Screening - Florida

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