Fla. Admin. Code Ann. R. 69L-6.027 - Penalty Calculation Worksheet

(1) For purposes of calculating penalties to be assessed against employers pursuant to Section 440.107, F.S., the Division shall use Form DFS-F4-1595, https://www.flrules.org/Gateway/reference.asp?No=Ref-15434, Penalty Calculation Worksheet, revised 01/23, which is hereby incorporated by reference.

(2) Copies of Form DFS-F4-1595, Penalty Calculation Worksheet, are available from the Department of Financial Services, Division of Workers' Compensation, 1579 Summit Lake Drive, Tallahassee, FL 32317.

Notes

Fla. Admin. Code Ann. R. 69L-6.027

Rulemaking Authority 440.107, 440.591 FS. Law Implemented 440.107 FS.

New 12-29-04, Amended 10-18-07, Amended by Florida Register Volume 41, Number 062, March 31, 2015 effective 4/12/2015, Amended by Florida Register Volume 43, Number 045, March 7, 2017 effective 3/21/2017, Amended by Florida Register Volume 49, Number 129, July 5, 2023 effective 7/18/2023.

New 12-29-04, Amended 10-18-07, 4-12-15, 3-21-17, 7-18-23.