Florida Regulations 6A-22.011

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§ 6A-22.011 List of Forms

(1)Forms DWC-21,DWC-22,DWC-23,DWC-24 and DWC-96 and accompanying instructions are

incorporated by reference as part of this rule to become effective April 2004.Each form shall be typed or legibly completed in order for the form to be considered properly filed or submitted with the Department. (a)Department reemployment services billing form shall be submitted to the Department on form DWC-21. (b)Reemployment status review form shall be submitted to the Department on form DWC-22. (c)Request for screening form shall be submitted to the Department on form DWC-23. (d)Department and student agreement for sponsorship of training and education form shall be completed on form DWC-24. (e)Qualified rehabilitation provider application shall be submitted to the Department on form DWC-96. (2)A copy of the forms and accompanying instructions incorporated by Rule 6A-22.011(1),F.A.C.,may be obtained from the Department of Education,Bureau of Rehabilitation and Reemployment Services,2728 Centerview Drive,Suite 101A,Forrest Building,Tallahassee,Florida 32399-0400.Copies are also available at the following Department web site:http://www.firn.edu/doe/rules/rules.htm. Specific Authority 440.491(5),(6),(7)FS.Law Implemented 440.491 FS.History B New 7-1-96,Amended 6-26-01. Formerly 38F-55.014,Amended 5-5-2004.