Forms and Documents

FSIGA Plan of Operation

Order Approving Plan of Operation

Rule 69L-5, Florida Administrative Code - Current as of March 8, 2006

Form SI-4b - Replacement Surety Bond

Form SI-5 - Payroll Report  (includes instructions)                     

Form SI-6 - Letter of Credit       (also in  Word format)

Form SI-17 - Unit Statistical Report (includes instructions) 

Form SI-20 - Report of Outstanding WC Liabilities (includes instructions) 

Compliance Guide for Self-Insurers

Application for Self-Insurance

Letter to Potential Applicants

Frequently Asked Questions

Application Instructions

Application Document Checklist

Application Fee Invoice

Compliance Guide for Self-Insurers

Form SI-1 - Application for Self-Insurance

Form SI-4 - Surety Bond

Form SI-6 - Letter of Credit

Form SI-11 - Group Indemnity Agreement

Form SI-19 - Certification of Servicing

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