Florida
Workers Comp
Last updated: 5/30/2023
Petition For Workers Compensation Benefits {PFB}
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Description
OJCC Form PFB - PETITION FOR WORKERS' COMPENSATION BENEFITS. This form is used in the state of Florida. It allows an employee or claimant to request the Office of the Judges of Compensation Claims to order an employer/carrier to provide workers' compensation benefits as outlined in Chapter 440 of the Florida Statutes. The form collects information about the parties involved, details of the accident or injury, and the specific benefits being claimed. By signing the form, the claimant certifies their good faith effort to resolve the dispute and seeks an order for the requested benefits. www.FormsWorkflow.com
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