Claims Forms

State Forms for Employers

First Report of Injury (DFS-F2-DWC-1)

Wage Statement (DFS-F2-DWC-1a)

Important Workers’ Compensation Information for Florida’s Employers (DFS-F2-DWC-65)

Informacion Importante Del Seguro De Indemnizacion Por Accidentes De Trabajo Para Los Empleadores De La Florida (DFS-F2-DWC-66)

State Forms for Employees

Employee Earnings Report (DFS-F2-DWC-19)

Important Workers’ Compensation Information for Florida’s Workers (DFS-F2-DWC-60)

Informacion Importante Del Seguro De Indemnizacion Por Accidentes De Trabajo Para Los Trabajadores De La Florida (DFS-F2-DWC-61)

Authorization and Request for Unemployment Compensation Information (DFS-F2-DWC-30)

Request for Social Security Disability Benefit Information (DFS-F2-DWC-14)