Division of Workers' Compensation

NOTE: EFFECTIVE 1-3-12 THE OCALA AND SARASOTA OFFICES NO LONGER ACCEPT EXEMPTION APPLICATIONS.

Completed Notices of Election to be Exempt should be mailed to:
Division of Workers’ Compensation
200 East Gaines Street
Tallahassee FL 32399-4228

Notice of Election To Be Exempt

The Division of Workers' Compensation offers an Online Payment Service for individuals to facilitate the completion of a Notice of Election to be Exempt and to submit electronic payment of the exemption fee. Payment can be submitted using Visa, Mastercard, or E-Check. The Service is convenient and easy to use. Please contact our Customer Service Unit at (850) 413-1609 if you have questions or encounter any issues.

Click here to begin the process

Key Coverage And Exemption Eligibility Requirements

• What are some of the Key Coverage Requirements?
• What Key Information should an Out-of-State Employer know?
• Where to Find Workers Compensation Coverage Information?
• What are some of the Key Exemption Eligibility Requirements?
• How to Apply for and obtain an Exemption?
• What are some of the Key Division Enforcement Provisions?

Forms

DWC 250	Notice of Election to be Exempt
DWC 250 Instructions	Instructions for completing Notice of Election to be Exempt
DWC 250-R	Revocation of Election to be Exempt
DWC 251	Notice of Election of Coverage
DWC 251-R	Revocation of Election of Coverage