Florida
Workers Comp
Last updated: 4/30/2024
Petition For Workers Compensation Benefits {PFB}
Start Your Free Trial $ 15.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
OJCC Form PFB - PETITION FOR WORKERS' COMPENSATION BENEFITS. This form is used in the state of Florida and 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
Related forms
-
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/6 Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/ -
Florida/Workers Comp/
Form Preview
Our Products
