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Compliance Proof of Coverage Query Page

This Database will be updated daily by 8:00am. In some cases it may be later in the day.
This database was last updated: 11/22/2008 12:13:25 AM


DISCLAIMER
The Department of Financial Services shall be held harmless against all claims, suits, judgments and/or damages resulting from this disclosure of information, including all costs and fees. The information contained herein is a representative reflection of selected information maintained by the Department of Financial Services , Division of Workers' Compensation. Coverage for client companies may not reflect in the Proof of Coverage Database due to the various formats used by insurance carriers in reporting client company information to the Division. Please contact the employee leasing company or it's insurance carrier to verify coverage of a client company.


Enter a value in one or more blanks below and click the SEARCH button:
SEARCH BY EMPLOYER NAME
Employer Name - Up to 60 characters
Employer City - Up to 30 characters
Maximum - number of records to return

SEARCH BY FEDERAL EMPLOYER ID NUMBER
Employer Federal ID Number - Exactly 9-digits

SEARCH BY EMPLOYER POLICY NUMBER
Employer Policy Number - No spaces or hyphens

SEARCH BY EXEMPTION HOLDER
Last Name of Exemption Holder- Last Name is a maximum of 20 characters
First Name of Exemption Holder- First Name is a maximum of 15 characters
Middle Initial of Exemption Holder- Middle Initial is a maximum of 2 characters
Maximum number of records to return
Exemption List - Construction Exemptions is the default

SEARCH BY EXEMPTION HOLDER SSN
Social Security Number of Exemption Holder- Exactly 9-digits

Data supplied by the Department of Financial Services, Division of Workers' Compensation
Comments and questions may be mailed to Terry Birch at: Terry.birch@fldfs.com
CAUTION: This information is subject to the following disclaimer.

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DIVISION OF WORKERS' COMPENSATION (800) 742-2214 or (850) 413-1601
Florida Division of Workers' Compensation · 200 East Gaines Street · Tallahassee, Florida 32399-4228 · · Legal Notices
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.