Workers’ Compensation Claim Kit – Florida

Who will handle your claims?

The Orlando Claim Office will handle your Florida claims, located at:

1035 Greenwood Blvd.
Suite265
Lake Mary, FL 32795

Phone (800)423-3060
Rose Powell, Manager 

How to report Workers’ Compensation claims? 

To report via the Internet: Log on to the Crum & Forster website at https://cfconnect.cfins.com. Use your assigned User ID and Password. If you do not have a current User ID, please contact your local Crum & Forster Claims or Marketing resource.

To report via e-mail:                                     [email protected]
To report via fax:                               1-877-622-6218
To report claims via telephone:       1-800-690-5520

(7 day/24 hour toll free reporting line for all states)

  • In the event of a serious or fatal injury, notify the local claim office immediately by telephone.

What are the Reporting Requirements? What forms does the employer need to be aware of?

Florida Form: DFS-F2-DWC-1 First Report of Injury or Illness: If you report the claim via the Internet or by telephone, this form does not need to be completed. If you report the claim via Fax, complete the form, and Fax it to C&F at the Fax number provided above.

FL-DFS-F2-DWC-1-10

Florida Brochure: DFS-F2-DWC-65 Employer Facts / IMPORTANT WORKERS’ COMPENSATION INFORMATION FOR FLORIDA’S EMPLOYERS

This brochure will give you a better understanding of your role and responsibilities under the workers’ compensation system. The brochure is provided in both English and Spanish print.

Brochure in English                                      Brochure in Spanish

  FL-Information Brochure For Employee         FL-Information brochure For Employee

Florida Form: DFS-F2-DWC-1a Wage Statement

FL-Wage Statement-DFS-F2-D

What is the Waiting Period for Lost Wages in Florida?
The waiting period for lost wages in Florida is 7 days. If the injured worker is off for more than 21 days, the first 7 days are paid retroactively.

What is the Choice of Physician Rules In Florida?
The Carrier has the right to select the physicians.

Preferred Provider Organization Network (PPO):
Crum & Forster has a PPO network available. Follow the instructions below to access the PPO Network:

Logon to the website at:   www.talispoint.com/conduent/cfi

  • Search by Provider Address, Name or Region
  • Select the Distance, Provider Type and Specialty
  • Results can then be exported to a directory or excel.
  • You can obtain a Map List or text message by selecting a specific provider

Where should all medical bills be sent?

Crum & Forster
PO Box 14801
Lexington, KY 40512

Important Websites
Click on this link for the official website for the Florida Division of Workers’ Compensation:
http://www.myfloridacfo.com/division/wc/

Multi-State Information: http://www.workerscompensation.com/