TERMS AND CONDITIONS: The Florida Department of Financial Services, Division of
Workers' Compensation (Division) is committed to protecting your privacy. The Division
maintains physical, electronic and procedural safeguards to ensure that your private
personal information is safe and secure. These safeguards assist us in preventing
unauthorized disclosure or access to secure information. The security of your personal
information is our top priority. To protect your information, the Division utilizes
128-bit encryption and the website will automatically log off after 60 minutes of
inactivity during any session. Only authorized employees of the Division have access
to your information. Each of these employees is trained in the proper handling of
personal and confidential data.
This online payment service allows you to submit payment for a Notice of Election
to be Exempt. By accepting these terms and conditions and clicking on the "Pay Now"
button, you authorize the Division to initiate an Automated Clearing House (ACH)
or credit card debit to the payment account that you have provided. The Division
will assess a $1.00 convenience fee for each online payment. Additionally, if for any
reason a payment is returned, the Division will assess a $15.00 fee. The Division
has 30 days from the date the Notice of Election to be Exempt is received to review
and determine your eligibility to be Exempt.
Under Florida law, e-mail addresses are public records. If you do not want your
e-mail address released in response to a public records request, do not include
your email address on the Notice of Election to be Exempt application. Communications
with this office, regardless of the form or means of transmission, are subject to
disclosure under the terms of Florida's public records law.
If the Division determines that a refund is due for an ACH debit, your account will
be credited after a minimum of 5 business days. If the bank account is no longer
valid at the time of reimbursement, a physical check will be mailed to you at the
address provided. If the Division determines that a refund is due for a credit card
payment, your credit card account will be reimbursed after a minimum of 5 business days. If
the credit card account is no longer valid at the time of reimbursement, a physical
check will be mailed to you at the address provided. The Division will not refund
the $1.00 fee that is assessed for each online payment.
The Division will not be responsible for any loss you may incur as a result of someone
else misusing your banking information with or without your permission. However,
you could be held liable for losses incurred by the Division or another party due
to someone else using your banking information. You may not use anyone else's account
at any time without the permission of the account holder.
The Division reserves the right to change the terms and conditions of its online
payment service. You are required to review these terms and conditions prior to
submitting an online payment. By using the Division's online payment service, you
agree to abide by these terms and conditions.
If you have any questions, please contact the Division's Customer Service Office
at 850-413-1609, option 2, toll free @ 1-800-342-1741, option 3, or email at
wc_exemption@myfloridacfo.com.