Florida Department of Financial Services Forms

This form is used for reporting quarterly earnings for individuals receiving supplemental income benefits in the state of Florida.

This document is used for authorizing and requesting information related to unemployment compensation in the state of Florida.

This form is used for reporting changes in aggregate claims administration in the state of Florida.

This form is used in Florida for calculating permanent total offset benefits in workers' compensation cases.

This form is used for professional bail bond agents in Florida to provide a financial statement.

This form is used for reporting the first occurrence of an injury or illness in the state of Florida. It is important to complete and submit this form as soon as possible after the incident.

This Form is used for filing a Permanent Total Supplemental Worksheet in the state of Florida.

This form is used for revoking the election of coverage in the state of Florida. It allows individuals to withdraw from the coverage they had previously elected.

This Form is used for the agreement between the Department and an injured employee in Florida for the provision of contracted placement services.

This form is used for requesting a screening in Florida.

This form is used for reemployment services questionnaire in the state of Florida.

This Form is used for Department and Student Agreement for Sponsorship of Training and Education in Florida.

This form is used for obtaining a certificate of completion in the state of Florida. It certifies that a certain project or course has been finished successfully.

This form is used for requesting an extension of time in Florida. It is specifically for the DFS-H2-460 form.

This form is used for applying for a life license and appointment on a U.S. foreign military installation in Florida.

This form is used for designating or deleting the primary adjuster for an adjusting firm and filing a change in firm, corporation, or business name in the state of Florida.

This form is used for bail bond agents in Florida to notify the appropriate authorities of a change in address.

This form is used for applying to become a neutral evaluator in the state of Florida.

This form is used for obtaining a public adjuster's bond in the state of Florida.

This form is used for individuals or organizations in Florida to declare their governmental status. It is used to determine eligibility for certain benefits or exemptions.

This form is used for filing bail bond rates in the state of Florida. Bail bond agents must complete this form to submit their proposed rates to the Department of Financial Services.

This Form is used for designating or deleting a supervising agent for customer representatives and limited customer representatives in the state of Florida.

This Form is used for surrendering a driver's license in Florida.

This form is used for filling out a mediator application in the state of Florida.

This form is used for registering representatives of fraternal benefit societies in the state of Florida.

This form is used for terminating an appointment in the state of Florida.

This form is used for making appointments in the state of Florida.

This form is used for submitting an affidavit regarding insurance activity in Florida while not properly appointed.

This form is used for individuals who want to apply for a temporary permit to operate a bail bond agency in Florida.

This form is used for agents and customer representatives in Florida to declare their governmental status.

This form is used for submitting an application for a reinsurance intermediary firm in Florida.

This Form is used for individuals in Florida to apply for a Reinsurance Intermediary license. It is specifically for those who wish to work as intermediaries in the reinsurance industry and helps to ensure that they meet the necessary requirements to operate in this role.

This form is used for reporting the employment status of temporary bail bond agents in the state of Florida.

This Form is used to gather information about an individual's suitability for purchasing an annuity in the state of Florida. It helps determine if the annuity is a suitable investment for the individual's financial needs and objectives.