Florida Department of State and Division of Library and Information Services

Rule Chapter: 69L-3
Chapter Title: WORKERS' COMPENSATION CLAIMS Add to MyFLRules Favorites
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Version		 Rule No. Rule Title Effective
Date
Rule file 69L-3.001 Purpose (Repealed) 3/13/2013
Rule file 69L-3.002 Definitions 6/30/2014
Rule file 69L-3.003 Procedures for Filing Documents 6/30/2014
Rule file 69L-3.0033 Electronic Filing of Workers' Compensation Forms (Transferred) 6/30/2014
Rule file 69L-3.0035 Injured Worker Informational Brochure 6/30/2014
Rule file 69L-3.0036 Employer Informational Brochure 6/30/2014
Rule file 69L-3.004 First Report of Injury or Illness: Employer's Responsibility to Record and Report Accidents (Transferred) 6/30/2014
Rule file 69L-3.0045 First Report of Injury or Illness: Claim Administrator's Responsibility to Record and Report Accidents (Transferred) 6/30/2014
Rule file 69L-3.0046 Wage Statement: Employer's and Claim Administrator's Responsibility to Record and Report Wages 6/30/2014
Rule file 69L-3.0047 Fraud Statement 6/30/2014
Rule file 69L-3.009 Injuries that Qualify as Grievous Bodily Harm of a Nature that Shocks the Conscience 3/8/2023
Rule file 69L-3.0091 Notice of Action/Change (Transferred) 6/30/2014
Rule file 69L-3.012 Notice of Denial (Transferred) 6/30/2014
Rule file 69L-3.016 Claim Cost Report 6/30/2014
Rule file 69L-3.017 Notice of Apportionment of Medical Reimbursement Due to a Pre-Existing Condition(s) 6/30/2014
Rule file 69L-3.018 Wage Loss Benefits Due to Permanent Impairment (Dates of Accident August 1, 1979 through December 31, 1993) (Repealed) 10/28/2015
Rule file 69L-3.019 Wage Loss Benefits for Temporary Partial Disability (Dates of Accident August 1, 1979 through December 31, 1993) (Repealed) 10/28/2015
Rule file 69L-3.0191 Temporary Disability Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed) 10/28/2015
Rule file 69L-3.01915 Temporary Partial Disability Benefits (Dates of Accident on or After October 1, 2003) 6/30/2014
Rule file 69L-3.0192 Impairment Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed) 10/28/2015
Rule file 69L-3.01925 Impairment Income Benefits (Dates of Accident on or After October 1, 2003) 6/30/2014
Rule file 69L-3.0193 Supplemental Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed) 10/28/2015
Rule file 69L-3.0194 Permanent Total and Permanent Total Supplemental Benefits for Dates of Accident Prior to October 1, 2003 6/30/2014
Rule file 69L-3.01945 Permanent Total and Permanent Total Supplemental Benefits for Dates of Accident on or After October 1, 2003 6/30/2014
Rule file 69L-3.021 Additional Income Source Reports 6/30/2014
Rule file 69L-3.0213 Aggregate Claims Administration Change Report (Repealed) 7/1/2012
Rule file 69L-3.025 Forms 6/30/2014


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