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© 2026 WorkCompCentral Workers Compensation Information
| Form Name | Form Number |
|---|---|
| Petition for Reconsideration - Form and Instructions - SPANISH (05-2007) | I&A12(sp) |
| Petition for Reconsideration - with Instructions (05-2007) | I&A 12 |
| Petition for Resolution of Reimbursment Dispute | AHCA Form 3160-0023 |
| Petition To Reopen | WCAB 42 |
| Petition to Reopen - Form and Instructions - SPANISH (05-2007) | I&A11(sp) |
| Petition to Reopen - with Instructions (05-2007) | I&A 11 |
| Petition To Terminate Liability For Temporary Disability Indermnity | wcab46 |
| Pre-Trial Conference Statement (Liens) | Pre-Trial |
| Pre-Trial Conference Statement(rev 09-2010) | 10253.1 |
| Predesignation of Personal Physician (03-01-2007) | DWC 9783 |
| Primary treating physician's progress report (6-2005) | DWC PR-2 |
| Proof of Personal Service | FL-330 |
| Proof of Service by Mail | FL-335 |
| Qualified medical evaluator (QME) complaint form (04-2006) | |
| Qualified medical evaluator (QME) exam packet (04-28-2007) | QME exam |
| Replacement Panel Request 05/10 | QME 31.5 |
| Report of suspected medical care provider fraud (03-2006) | SMBFR 1115 |
| Request for accomodations by persons with disabilities (Rev. 1/06) | DWC Form 5 |
| Request for authorization number form (05-2006) | DWC AD 3 |
| Request for consultative rating (02-2002) | |
| Request For Dismissal (General) | WCAB 43 |
| Request For Dismissal by Employee | WCAB-43 |
| Request for dispute resolution before the administrative director injuries occurring on or after 01-01-2004 (08-18-2006) | DWC-AD 10133.55 |
| Request For Informal Rating By Insurance Carrier or Self-Insurer | DEU 201 |
| Request For Informal Rating Of Pre-Application Cases | DIA 400 |
| Request for Public Records (10-2006) | |
| Request for Qualified Medical Evaluator - Form with Instructions - SPANISH (05-2007) | I&A2(sp) |
| Request for Qualified Medical Evaluator with Instructions (05-2007) | I&A 2 |
| Request for Reconsideration of Summary Rating by the Administrative Director - Form with Instructions - SPANISH (05-2007) | I&A3(sp) |
| Request for Reconsideration of Summary Rating by the Administrative Director with Instructions (05-2007) | I&A3 |
Apr 14-15, 2026
The Florida Office of Insurance Regulation (FLOIR) invites you to attend its premier Insurance Sum …
Apr 20-22, 2026
The Forum brings the workers' compensation community together to collaborate, share insights and i …
Apr 22-24, 2026
Join us in Monterey for networking, learning and growth. Experience unparalleled opportunities f …