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Department of Financial Services
Division of Risk Management
State Risk Management Trust Fund
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Coverage Request Forms (DI4-850)

EForm ID Agency Name Certificate No Signed Date Emailed
6204   FVFlorida Dept of Agriculture & Consumer Services  1-434-01  3/22/2019 1:04:14 PM  True 
6203   Department of Military Affairs  2-620-01  3/22/2019 11:32:31 AM  True 
6202   Department of Military Affairs  2-620-01  3/22/2019 11:27:26 AM  True 
6201   Department of Military Affairs  2-620-01  3/22/2019 11:15:45 AM  True 
6200   Department of Military Affairs  2-620-01  3/22/2019 10:48:37 AM  True 
6199   Department of Military Affairs  2-620-01  3/22/2019 10:33:31 AM  True 
6198   Department of Military Affairs  2-620-01  3/21/2019 2:33:17 PM  True 
6197   Department of Military Affairs  2-620-01  3/21/2019 2:25:35 PM  True 
6196   Department of Military Affairs  1-620-01  3/21/2019 11:45:44 AM  True 
6195   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  3/20/2019 3:16:23 PM  True 
6194   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  3/20/2019 1:48:59 PM  True 
6193   DOE - UNIVERSITY OF FLORIDA/IFAS  1-491-05  3/20/2019 1:36:19 PM  True 
6192   FLORIDA LEGISLATURE  1-110-02  3/20/2019 1:36:18 PM  True 
6191   FLORIDA LEGISLATURE  1-110-02  3/20/2019 1:22:09 PM  True 
6190   FLORIDA LEGISLATURE  1-110-02  3/20/2019 1:10:58 PM  True 
6189   FLORIDA LEGISLATURE  1-110-02  3/20/2019 1:07:51 PM  True 
6188   FLORIDA LEGISLATURE  1-110-02  3/20/2019 1:04:14 PM  True 
6187   Department of Military Affairs  1-620-01  3/20/2019 10:58:19 AM  True 
6186   Department of Military Affairs  1-620-01  3/20/2019 10:47:52 AM  True 
6185   Department of Military Affairs  1-620-01  3/20/2019 10:37:21 AM  True 
6184   FLORIDA LEGISLATURE  1-110-02  3/20/2019 10:36:45 AM  True 
6183   Department of Military Affairs  1-620-01  3/20/2019 10:30:31 AM  True 
6182   Department of Military Affairs  1-620-01  3/20/2019 9:40:44 AM  True 
6181   AnDepartment of Highway Safety and Motor Vehicles  1-760-01  3/20/2019 9:40:39 AM  True 
6180   Department of Military Affairs  1-620-01  3/20/2019 9:24:33 AM  True 
6179   Department of Military Affairs  1-620-01  3/20/2019 9:14:04 AM  True 
6178   Department of Military Affairs  1-620-01  3/20/2019 9:07:12 AM  True 
6177   Florida International University  1-498-01  3/19/2019 4:39:08 PM  True 
6176   FLORIDA LEGISLATURE  1-110-02  3/19/2019 3:16:12 PM  True 
6175   FLORIDA LEGISLATURE  1-110-02  3/19/2019 3:11:33 PM  True 
6174   FLORIDA LEGISLATURE  1-110-02  3/19/2019 3:08:06 PM  True 
6173   Department of Military Affairs  1-620-01  3/19/2019 3:02:26 PM  True 
6172   Department of Military Affairs  2-620-01  3/19/2019 1:33:01 PM  True 
6171   Department of Military Affairs  2-620-01  3/19/2019 1:15:22 PM  True 
6170   Department of Military Affairs  2-620-01  3/19/2019 1:06:23 PM  True 
6169   Department of Military Affairs  2-620-01  3/19/2019 12:57:55 PM  True 
6168   Department of Military Affairs  2-620-01  3/19/2019 11:23:45 AM  True 
6167   FLORIDA LEGISLATURE  1-110-02  3/19/2019 11:12:42 AM  True 
6166   FLORIDA LEGISLATURE  1-110-02  3/19/2019 11:09:29 AM  True 
6165   Department of Military Affairs  2-620-01  3/19/2019 11:00:49 AM  True 
6164   FLORIDA LEGISLATURE  1-110-02  3/19/2019 10:57:37 AM  True 
6163   FLORIDA LEGISLATURE  1-110-02  3/19/2019 10:52:28 AM  True 
6162   FLORIDA LEGISLATURE  1-110-02  3/19/2019 10:49:36 AM  True 
6161   Department of Military Affairs  2-620-01  3/19/2019 10:13:24 AM  True 
6160   Department of Military Affairs  2-620-01  3/19/2019 8:18:30 AM  True 
6159   Department of Military Affairs  2-620-01  3/19/2019 8:05:19 AM  True 
6158   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:58:14 PM  True 
6157   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:55:07 PM  True 
6156   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:51:27 PM  True 
6155   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:48:33 PM  True 
6154   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:11:03 PM  True 
6153   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:07:47 PM  True 
6152   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:03:55 PM  True 
6151   FLORIDA LEGISLATURE  1-110-02  3/18/2019 4:00:33 PM  True 
6150   FLORIDA LEGISLATURE  1-110-02  3/18/2019 3:55:43 PM  True 
6149   FLORIDA LEGISLATURE  1-110-02  3/18/2019 3:45:18 PM  True 
6148   FLORIDA LEGISLATURE  1-110-02  3/18/2019 2:35:59 PM  True 
6147   FLORIDA LEGISLATURE  1-110-02  3/18/2019 2:31:14 PM  True 
6146   FLORIDA LEGISLATURE  1-110-02  3/18/2019 2:24:43 PM  True 
6145   Department of Military Affairs  2-620-01  3/18/2019 1:42:56 PM  True 
6144   Department of Military Affairs  2-620-01  3/18/2019 1:29:54 PM  True 
6143   Department of Military Affairs  1-620-01  3/15/2019 3:24:31 PM  True 
6142   Department of Military Affairs  1-620-01  3/15/2019 2:56:51 PM  True 
6141   Department of Military Affairs  1-620-01  3/15/2019 2:39:18 PM  True 
6140   Department of Military Affairs  1-620-01  3/15/2019 1:37:02 PM  True 
6139   Department of Management Services  2-729-03  3/15/2019 1:01:37 PM  True 
6138   University of West Florida  1-497-01  3/15/2019 10:50:02 AM  True 
6137   University of West Florida  1-497-01  3/14/2019 2:32:15 PM  True 
6136   FLORIDA LEGISLATURE  1-110-02  3/14/2019 2:05:50 PM  True 
6135   FLORIDA LEGISLATURE  1-110-02  3/14/2019 1:59:29 PM  True 
6134   FLORIDA LEGISLATURE  1-110-02  3/14/2019 1:54:01 PM  True 
6133   FLORIDA LEGISLATURE  1-110-02  3/14/2019 1:49:24 PM  True 
6132   FLORIDA LEGISLATIRE  1-110-02  3/14/2019 1:33:23 PM  True 
6131   FLORIDA LEGISLATURE  1-110-02  3/14/2019 1:25:11 PM  True 
6130   FLORIDA LEGISLATURE  1-110-02  3/14/2019 1:17:40 PM  True 
6129   University of West Florida  1-497-01  3/14/2019 12:26:27 PM  True 
6128   DOC - GULF CI  1-700-55  3/13/2019 4:37:16 PM  True 
6127   DOC - GULF CI  1-700-55  3/13/2019 4:08:08 PM  True 
6126   DOC- GULF CI  1-700-55  3/13/2019 3:52:37 PM  True 
6125   DOC- APALACHEE CI  1-700-02  3/13/2019 3:44:34 PM  True 
6124   DEPARTMENT OF EDUCATION  1-487-01  3/13/2019 9:14:00 AM  True 
6123   Florida Dept of Agriculture and Consumer Services  1-434-01  3/13/2019 9:08:11 AM  True 
6122   Florida Dept of Agriculture and Consumer Services  1-434-01  3/13/2019 8:45:00 AM  True 
6121   FLORIDA LEGISLATURE  1-110-02  3/12/2019 1:42:08 PM  True 
6120   FLORIDA LEGISLATURE  1-110-02  3/12/2019 1:18:45 PM  True 
6119   Florida State University  1-492-08  3/12/2019 12:46:16 PM  True 
6118   Florida State University  1-492-08  3/12/2019 11:26:46 AM  True 
6117   Florida State University  1-492-01  3/11/2019 3:30:56 PM  True 
6116   Florida State University  1-492-01  3/11/2019 3:18:50 PM  True 
6115   Florida State University  1-492-01  3/11/2019 3:09:42 PM  True 
6114   DOC- SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 10:16:39 AM  True 
6113   DOC-SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 10:11:35 AM  True 
6112   DOC- SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 10:03:27 AM  True 
6111   DOC- SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 9:56:43 AM  True 
6110   DOC-SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 9:46:00 AM  True 
6109   DOC-SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 9:41:42 AM  True 
6108   DOC-SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 9:31:44 AM  True 
6107   DOC- SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 9:26:38 AM  True 
6106   DOC- SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 9:22:38 AM  True 
6105   DOC-SOUTH FLORIDA RECEPTION CENTER  1-700-10  3/11/2019 9:18:28 AM  True 
6104   DOC- SOUTH FL RECEPTION CENTER  1-700-10  3/11/2019 9:14:37 AM  True 
6103   DEP  1-375-01  3/6/2019 12:36:17 PM  True 
6102   DEP  1-375-01  3/6/2019 10:27:58 AM  True 
6101   Florida State University  1-492-01  3/6/2019 9:56:09 AM  True 
6100   Department of Military Affairs  2-620-01  3/5/2019 4:07:36 PM  True 
6099   Department of Military Affairs  2-620-01  3/5/2019 3:51:36 PM  True 
6098   Department of Military Affairs  1-620-01  3/5/2019 2:45:24 PM  True 
6097   DEP  1-375-01  3/4/2019 11:48:05 AM  True 
6096   DEP  1-375-01  3/4/2019 11:31:10 AM  True 
6095   DEP  1-375-01  3/4/2019 11:21:21 AM  True 
6094   DEP  1-375-01  3/4/2019 10:59:31 AM  True 
6093   DEP  1-375-01  3/4/2019 10:37:15 AM  True 
6092   Office of Criminal Conflict 4th District  1-264-06  2/28/2019 9:21:09 AM  True 
6091   Office of Criminal Conflict 4th District  1-264-06  2/28/2019 9:08:38 AM  True 
6090   Florida State Universit  1-492-01  2/28/2019 8:25:35 AM  True 
6089   Florida State University  1-492-01  2/28/2019 8:06:20 AM  True 
6088   DEP  1-371-01  2/27/2019 3:43:31 PM  True 
6087   Florida State University  1-492-01  2/25/2019 12:58:05 PM  True 
6086   Florida International University  1-498-01  2/22/2019 3:04:55 PM  True 
6085   DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES  1-760-01  2/22/2019 10:19:56 AM  True 
6084   Department of Highway Safety and Motor Vehicles  1-760-01  2/22/2019 10:11:04 AM  True 
6083   Department of Health  1-140-18  2/22/2019 9:30:47 AM  True 
6082   DEP  1-375-01  2/21/2019 1:49:02 PM  True 
6081   DOC - SANTA ROSA CI  1-700-60  2/20/2019 1:47:41 PM  True 
6080   Florida State University  1-492-01  2/19/2019 3:26:45 PM  True 
6079   Florida State University  1-492-01  2/19/2019 3:07:49 PM  True 
6078   DEP  1-372-01  2/19/2019 11:54:12 AM  True 
6077   DEP  1-379-02  2/14/2019 2:37:25 PM  True 
6076   DEP  1-379-02  2/14/2019 1:09:14 PM  True 
6075   DEP  1-370-06  2/13/2019 12:45:37 PM  True 
6074   Department of Enviromental Protection  1-370-06