FLDFS Header Image HOME · CONTACT · HELP · SITEMAP ·
 

Department of Financial Services
Division of Risk Management
State Risk Management Trust Fund
To expand or collapse any of the form sections below, please click on the form title.

Coverage Request Forms (DI4-850)

EForm ID Agency Name Certificate No Signed Date Emailed
6454   Department of Transportation  2-550-01  7/16/2019 3:28:44 PM  True 
6453   DEP  1-375-01  7/16/2019 2:35:03 PM  True 
6452   DEP  1-375-01  7/16/2019 2:28:37 PM  True 
6451   DEP  1-370-10  7/15/2019 10:38:36 AM  True 
6450   Florida Department of Juvenile Justice  1-715-01  7/12/2019 3:49:26 PM  True 
6449   Florida Dept of Agriculture & Consumer Services  1-434-01  7/12/2019 9:59:52 AM  True 
6448   Florida State University  1-492-08  7/11/2019 1:45:45 PM  True 
6447   DEP  1-370-09  7/10/2019 3:55:10 PM  True 
6446   Florida Department of Transportation  2-550-01  7/10/2019 9:56:57 AM  True 
6445   Florida Department of Transportation  2-550-01  7/10/2019 9:53:16 AM  True 
6444   Florida Department of Health  1-140-01  7/10/2019 9:50:31 AM  True 
6443   Florida Department of Transportation  2-550-01  7/10/2019 9:50:06 AM  True 
6442   Florida Department of Transportation  2-550-01  7/10/2019 9:45:42 AM  True 
6441   Florida Department of Transportation  2-550-01  7/10/2019 9:39:51 AM  True 
6440   Florida Department of Transportation  2-550-01  7/10/2019 9:36:11 AM  True 
6439   Florida Department of Transportation  2-550-01  7/10/2019 9:30:07 AM  True 
6438   Florida Department of Transportation  2-550-01  7/10/2019 9:25:55 AM  True 
6437   Florida Department of Transportation  2-550-01  7/10/2019 9:22:01 AM  True 
6436   Florida Department of Transportation  2-550-01  7/10/2019 9:15:11 AM  True 
6435   Florida Department of Transportation  2-550-01  7/10/2019 9:05:03 AM  True 
6434   Florida Department of Transportation  2-550-01  7/10/2019 8:56:25 AM  True 
6433   Department Of Transportation  2-550-01  7/9/2019 11:23:27 AM  True 
6432   Derpartment of Transportation  2-550-01  7/9/2019 11:19:23 AM  True 
6431   Department of Transportaion  2-550-01  7/9/2019 11:14:25 AM  True 
6430   Florida Department of Transportation  2-550-01  7/8/2019 1:15:46 PM  True 
6429   Florida Department of Transportation  2-550-01  7/8/2019 12:59:39 PM  True 
6428   Florida Department of Transportation  2-550-01  7/8/2019 12:54:25 PM  True 
6427   DEPARTMENT OF EDUCATION  1-490-12  7/8/2019 9:04:19 AM  True 
6426   DEPARTMENT OF EDUCATION  1-487-01  7/8/2019 8:12:30 AM  True 
6425   Florida Department of Transportation  2-550-01  7/5/2019 3:59:45 PM  True 
6424   Florida Department of Transportation  2-550-01  7/5/2019 3:55:19 PM  True 
6423   Florida Department of Transportation  2-550-01  7/5/2019 3:50:54 PM  True 
6422   Florida Department of Transportation  2-550-01  7/5/2019 3:49:55 PM  True 
6421   Florida Department of Transportation  2-550-01  7/5/2019 12:40:53 PM  True 
6420   Florida Department of Transportation  2-550-01  7/5/2019 12:36:18 PM  True 
6419   Florida Department of Transportation  2-550-01  7/5/2019 12:26:46 PM  True 
6418   Florida Department of Transportation  2-550-01  7/5/2019 12:22:42 PM  True 
6417   Florida Department of Transportation  2-550-01  7/5/2019 12:18:34 PM  True 
6416   Departmeent of Highway Safety and Motor Vehicles  1-760-01  7/3/2019 9:46:36 AM  True 
6415   Department of Highway Safety and Motor Vehicles  1-760-00  7/3/2019 9:30:45 AM  True 
6414   Department of Highway Safety and Motor Vehicles  1-760-00  7/3/2019 9:06:28 AM  True 
6413   FLORIDA LEGISLATURE  1-114-01  7/2/2019 10:58:21 AM  True 
6412   Florida Dept of Agriculture & Consumer Services  1-434-01  6/26/2019 3:54:40 PM  True 
6411   Department of Highway Safety and Motor Vehicles  1-760-01  6/26/2019 2:25:54 PM  True 
6410   Department of Transportation  2-550-01  6/26/2019 1:02:45 PM  True 
6409   Department of Transportation  2-550-01  6/26/2019 12:54:05 PM  True 
6408   Department of Transportation  2-550-01  6/26/2019 11:23:48 AM  True 
6407   Department of Transportation  2-550-01  6/26/2019 11:17:38 AM  True 
6406   Department of Transportation  2-550-01  6/26/2019 11:08:32 AM  True 
6405   Department of Transportation  2-550-01  6/26/2019 10:38:21 AM  True 
6404   Department of Tranportation  2-550-01  6/26/2019 10:18:29 AM  True 
6403   Department of Transportation  2-550-01  6/26/2019 10:13:05 AM  True 
6402   Department of Transportation  2-550-01  6/26/2019 10:06:36 AM  True 
6401   AGENCY FOR PERSONS WITH DISABILITIES  1-830-04  6/26/2019 9:24:37 AM  True 
6400   AGENCY FOR PERSONS WITH DISABILITIES  1-830-04  6/26/2019 9:18:42 AM  True 
6399   Florida Dept of Agriculture & Consumer Services  1-434-01  6/25/2019 3:11:37 PM  True 
6398   Florida Dept of Agriculture & Consumer Services  1-434-01  6/25/2019 2:16:25 PM  True 
6397   DEPARTMENT OF EDUCATION  1-487-01  6/20/2019 8:51:19 AM  True 
6396   DEPARTMENT OF EDUCATION  1-487-01  6/20/2019 8:47:44 AM  True 
6395   DEPARTMENT OF EDUCATION  1-487-01  6/20/2019 8:43:49 AM  True 
6394   DEPARTMENT OF EDUCATION  1-487-01  6/19/2019 4:01:06 PM  True 
6393   DEPARTMENT OF EDUCATION  1-487-01  6/19/2019 3:58:01 PM  True 
6392   DEPARTMENT OF EDUCATION  1-487-01  6/19/2019 3:27:12 PM  True 
6391   University of Florida  1-491-01  6/19/2019 1:46:11 PM  True 
6390   DEP  1-375-01  6/18/2019 3:03:02 PM  True 
6389   DOC - APALACHEE CI  1-700-02  6/13/2019 8:05:37 AM  True 
6388   DOC - APALACHEE CI  1-700-02  6/13/2019 8:01:36 AM  True 
6387   DOC - APALACHEE CI  1-700-02  6/12/2019 4:26:46 PM  True 
6386   Florida Dept of Agriculture & Consumer Services  1-434-01  6/12/2019 1:30:09 PM  True 
6385   Department of Transportation  2-550-01  6/10/2019 4:04:49 PM  True 
6384   DEP  1-375-01  6/10/2019 8:53:13 AM  True 
6383   Florida Dept of Agriculture & Consumer Services  1-434-01  6/7/2019 2:34:19 PM  True 
6382   DEPARTMENT OF CORRECTIONS - DESOTO CI  1-700-08  6/7/2019 10:36:10 AM  True 
6381   Florida Dept of Agriculture & Consumer Services  1-434-01  6/7/2019 8:35:34 AM  True 
6380   Department of Transporation  2-550-01  6/6/2019 3:31:16 PM  True 
6379   Florida Department of Transportation  2-550-01  6/3/2019 4:33:14 PM  True 
6378   Florida Department of Transportation  2-550-01  6/3/2019 4:28:07 PM  True 
6377   Florida Department of Transportation  2-550-01  6/3/2019 4:14:40 PM  True 
6376   DEP  1-375-01  5/30/2019 8:01:54 AM  True 
6375   Florida Dept of Agriculture and Consumer Services  1-434-01  5/29/2019 11:01:09 AM  True 
6374   Florida Dept of Agriculture and Consumer Services  1-434-01  5/29/2019 10:38:33 AM  True 
6373   Florida Dept of Agriculture and Consumer Services  1-434-01  5/29/2019 10:12:35 AM  True 
6372   Florida Dept of Agriculture and Consumer Services  1-434-01  5/29/2019 10:07:43 AM  True 
6371   Department of Transportation  2-550-01  5/29/2019 7:59:11 AM  True 
6370   Department of Transportation  2-550-01  5/29/2019 7:29:24 AM  True 
6369   Florida Department of Juvenile Justice  1-715-01  5/28/2019 2:38:49 PM  True 
6368   Florida Department of Transportation  2-550-01  5/22/2019 12:41:44 PM  True 
6367   Florida Department of Transportation  2-550-01  5/22/2019 12:34:27 PM  True 
6366   Florida Department of Transportation  2-550-01  5/21/2019 3:06:24 PM  True 
6365   DEPARTMENT OF EDUCATION  1-487-01  5/21/2019 10:53:21 AM  True 
6364   DEPARTMENT OF EDUCATION  1-487-01  5/21/2019 10:48:59 AM  True 
6363   Florida Department of Health  1-140-18  5/20/2019 9:27:53 AM  True 
6362   Department of Transportation  2-550-01  5/16/2019 10:14:51 AM  True 
6361   Florida Polytechnic University  1-502-01  5/15/2019 5:17:50 PM  True 
6360   DEPARTMENT OF EDUCATION  1-487-01  5/15/2019 3:29:41 PM  True 
6359   DEPARTMENT OF EDUCATION  1-487-01  5/15/2019 3:23:31 PM  True 
6358   Florida Dept of Agriculture and Consumer Services  1-434-01  5/15/2019 8:12:56 AM  True 
6357   Florida Dept of Agriculture and Consumer Services  1-434-01  5/14/2019 10:25:40 AM  True 
6356   DEPARTMENT OF EDUCATION  1-487-01  5/10/2019 5:05:54 PM  True