Reference: Ref-15434

Reference Name: DFS-F4-1595 - Penalty Calculation Worksheet
Agency: 69 Department of Financial Services
69L Division of Workers' Compensation

Original Document(s):
5/25/2023 DFS-F4-1595 - Penalty Calculation Worksheet
Modified Document(s): No Modified document(s).
Description: DFS-F4-1595 - Penalty Calculation Worksheet

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
69L-6.027
Penalty Calculation Worksheet 27290773 Effective:
07/18/2023