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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

Safety Program Premium Credit

Florida employers are permitted to implement a Safety Program and are eligible to receive up to a 2% premium credit on a qualified program. A self-insurer that implements such a program, and provides the application to the Division, is also eligible to receive this premium credit. The Division applies this credit while imputing a premium to determine the Workers’ Compensation Administration Trust Fund and Special Disability Trust Fund assessments. In order to receive a Safety Program Premium Credit, please verify that the program meets the requirements in the Safety Program Premium Credit rule below and complete the form.

Form:

  • DFS-F2-SI-9 Word document, Self-Insurer Certification of Workplace Safety Program Premium Credit

Rule:

Florida Statute:

  • Employer workplace safety program in rate setting; program requirements; rulemaking. (Section 440.1025, F.S.)

Mailing Address:

  • Self-Insurance Unit
    Division of Workers’ Compensation
    Florida Department of Financial Services
    200 East Gaines Street
    Tallahassee, Florida 32399

Email:

Contact Us:

  • Dwayne Manning (850) 413-1784