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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), Self-Insurer Certification of Workplace Safety Program Premium Credit

Rule:

Florida Statute:

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