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Division Director

Tanner Holloman

Assistant Director

Andrew Sabolic


Workers' Compensation
200 East Gaines Street
Tallahassee, FL 32399-0318
Workers' Compensation Claims
(800) 342-1741
Workers' Compensation Exemption/ Compliance
(850) 413-1609

Field Audits

When a self-insurer reports its annual Form SI-5 (Payroll Report), the Division reviews the submission for accuracy and completeness. If the Division has questions or concerns about the payroll or classifications reported on the form, it may conduct a "Field Audit" to make certain the self-insurer is reporting accurate and complete information.

The Division’s premium auditor will schedule an on-site visit of the self-insurer location and request supporting documentation for Form SI-5 (Payroll Report). Supporting documentation may include an employer’s payroll reports, employees payroll ledgers, UCT 6 reports and a list of employees and their related job duties. Upon the completion of a field audit the Division will issue a final report. To learn more about the Division’s field audit process, please review the objectives below.

Form:

Rule:

Florida Statutes:

Auditor's Objective:

  • Proper Classification of Employees
  • Identify the Governing Class Code of the Business
  • Determine deviation of 20% or more
  • Variances in the SI-5 compared to the UCT-6
  • Recommendation from FSIGA on Payroll Issues

Premium Audit Contacts: