Florida Department of Financial Services Forms

83
total templates

Documents

83

Form EAO1 "Request for Assistance" - Florida

Rate (4.3 / 5) 6 votes
Size: 65 KB
2 pages

Instructions for Form UB-04, CMS-1450 "Institutional Billing Form (Nursing Home Facilities)" - Florida

Rate (4.6 / 5) 26 votes
Size: 217 KB
10 pages

Instructions for Form UB-04, CMS-1450 "Institutional Billing Form (Ambulatory Surgical Centers)" - Florida

Rate (4.4 / 5) 22 votes
Size: 228 KB
12 pages

Instructions for Form UB-04, CMS-1450 "Institutional Billing Form (Home Health Agencies)" - Florida

Rate (4.5 / 5) 18 votes
Size: 216 KB
11 pages

Form DFS-UP-155 "Safe Deposit Box Inventory Form of Property Presumed Unclaimed" - Florida

Rate (4.4 / 5) 28 votes
Size: 93 KB
4 pages

Form DFS-DO-855 "Statement - Lightning Losses - State Risk Management Trust Fund" - Florida

Rate (4.4 / 5) 61 votes
Size: 78 KB
1 page

Form DFS-H2-72 "Public Adjuster's Bond" - Florida

Rate (4.8 / 5) 33 votes
Size: 243 KB
2 pages

Form 09-1 "Application for Drug-Free Workplace Premium Credit Program" - Florida

Rate (4.6 / 5) 11 votes
Size: 16 KB
1 page

Instructions for Form CMS-1450 "Institutional Billing Form (Hospitals)" - Florida

Rate (4.4 / 5) 7 votes
Size: 275 KB
12 pages

Instructions for Form CMS-1500 "Health Insurance Claim Form (Ambulatory Surgical Centers)" - Florida

Rate (4.8 / 5) 9 votes
Size: 97 KB
12 pages

Form DFS-H2-503 "Bail Bond Rate Filing" - Florida

Rate (4.4 / 5) 32 votes
Size: 181 KB
2 pages

Form DFS-H2-591 "Mediator Application" - Florida

Rate (4.7 / 5) 58 votes
Size: 60 KB
4 pages

Form DFS-H2-376 "Application for Life License and Appointment - U.S. Foreign Military Installation" - Florida

Rate (4.6 / 5) 84 votes
Size: 168 KB
2 pages

Form DFS-H2-460 "Request for Extension of Time" - Florida

Rate (4.5 / 5) 80 votes
Size: 114 KB
1 page

Form DFS-H2-501 "Appointment Form" - Florida

Rate (4.4 / 5) 40 votes
Size: 1 MB
3 pages

Form DFS-A1-26E "Vendor Direct Deposit Authorization" - Florida

Rate (4.7 / 5) 61 votes
Size: 152 KB
2 pages

Form DFS-A1-409 "Affidavit Attesting to Forgery" - Florida

Rate (4.3 / 5) 30 votes
Size: 181 KB
2 pages

Form OFR-S-10-91 "Report of Sales of Securities and Use of Proceeds Therefrom" - Florida

Rate (4.8 / 5) 104 votes
Size: 14 KB
2 pages

Form DFS-H2-504 "Professional Bail Bond Agent Financial Statement" - Florida

Rate (4.8 / 5) 34 votes
Size: 144 KB
3 pages

Form DFS-A6-692 "Payment of Court-Related Fees, Charges, Costs, Fines, and Other Monetary Penalties" - Florida

Rate (4.4 / 5) 67 votes
Size: 16 KB
3 pages

Form DFS-A1-408 "Affidavit for Duplicate Warrant" - Florida

Rate (4.8 / 5) 45 votes
Size: 118 KB
3 pages

Form DFS-H2-569 "Registration of Fraternal Benefit Society Representatives" - Florida

Rate (4.8 / 5) 74 votes
Size: 73 KB
1 page

Form DFS-H2-1541 "Designation or Deletion of Primary Bail Bond Agent" - Florida

Rate (4.7 / 5) 17 votes
Size: 489 KB
1 page

Form DFS-H2-1428 "Agent Qualification and Verification of Experience Form" - Florida

Rate (4.7 / 5) 202 votes
Size: 264 KB
2 pages

Form DFS-H2-6364 "Designation/Deletion of Primary Adjuster for Adjusting Firm and Filing of Firm, Corporation, or Business Name Change" - Florida

Rate (4.5 / 5) 47 votes
Size: 113 KB
3 pages

Form DFS-H2-1783 "Neutral Evaluator Application" - Florida

Rate (4.6 / 5) 40 votes
Size: 44 KB
3 pages

Form DFS-H2-1088 "Reinsurance Intermediary Application Individual" - Florida

Rate (4.5 / 5) 83 votes
Size: 168 KB
5 pages

Form DFS-H2-1087 "Reinsurance Intermediary Application Firms" - Florida

Rate (4.3 / 5) 72 votes
Size: 241 KB
6 pages

Form DFS-H2-1124 "Designation or Deletion of Supervising Agent for Customer Representatives and Limited Customer Representatives" - Florida

Rate (4.5 / 5) 89 votes
Size: 1 MB
2 pages

Form DFS-A1-2145 "Object Code Add or Update Request Form" - Florida

Rate (4.5 / 5) 46 votes
Size: 55 KB
2 pages

Form DFS-H2-1109 "Reduction of Continuing Education Requirement" - Florida

Rate (4.4 / 5) 99 votes
Size: 58 KB
1 page

Form DFS-H2-1105 "Affidavit of Insurance Activity While Not Properly Appointed" - Florida

Rate (4.6 / 5) 34 votes
Size: 48 KB
1 page

Form DFS-H2-1543 "Temporary Bail Bond Agent Employment Report" - Florida

Rate (4.7 / 5) 55 votes
Size: 307 KB
3 pages

Form DFS-A3-1932 "Fica Refund Request or Ops Fica Alternative Retirement Plan Contribution Refund Request" - Florida

Rate (4.6 / 5) 75 votes
Size: 202 KB
2 pages

Form DFS-H2-1542 "Statement of Surrender Form" - Florida

Rate (4.6 / 5) 60 votes
Size: 114 KB
1 page

Form DFS-H2-1509 "Temporary Bail Bond Agent Mandatory Employment Verification" - Florida

Rate (4.6 / 5) 81 votes
Size: 38 KB
1 page

Form DFS-H2-1564 "Bail Bond Agent Notice of Change of Address" - Florida

Rate (4.5 / 5) 60 votes
Size: 57 KB
1 page

Form DFS-F1-PW-2 "Preferred Worker Reimbursement Request" - Florida

Rate (4.8 / 5) 11 votes
Size: 11 KB
1 page