Requestor Registration Form

INSTRUCTIONS ON REGISTERING:
Please enter all “Required” fields below. A contact name is not required but is helpful if the Division has any questions regarding the registration. Upon registering, you will receive a Company ID and PIN # via e-mail on the next business day after you register. Keep this ID and PIN # readily available because you will need it to access and update your tracking list. Once this registration form is complete, you will be able to input employer names and track policy and exemption information. Please note, you will be required to track at least one sub-contractor at the end of this registration process. If you do not have a sub-contractor to track at this time, you can click on Return to Logon below and register at a later date.

BUSINESS NAME OF REQUESTOR:
*

FEIN OF REQUESTOR:
*

E-MAIL:
*

MAILING ADDRESS:
Street Address 1:
*

Street Address 2:
 

Zip:
*

City:
*

State:
*
Country:
*

PHONE NUMBER:
Area Code:
*

Phone #:
*

Extension:


CONTACT PERSON:
First Name:
 

M.I.:
Last Name:


Please make sure you have filled in all the REQUIRED* fields, then click the "REGISTER ME" button below.
If you wish to cancel your registration, click the "CLEAR FORM" button.

    

Return to Logon

DISCLAIMER
Policy and exemption data is updated in the system Monday - Friday evenings. Employer names reported to the Division can vary slightly from those specifically typed on a policy. Older data may reflect multiple employer names under the same FEIN; therefore, it is recommended that employer information be reviewed carefully prior to selecting that employer to be tracked. Notification of changes to an employer's policy information or exemption status will be sent via e-mail on the next business day after receipt of the change, for any employer that a requestor has on their tracking list. Florida Statutes allow insurance companies 21 days after the effective date of a policy or change, to report that policy or change to the Division, so there may be a delay in finding an employer's policy in the database.

If you have questions concerning policy information on the website, you may contact the Customer Service Unit at (850) 413-1609. 

If you have questions or suggestions regarding the Construction Policy Tracking Database, please e-mail: ContractorTracking@myfloridacfo.com

If you have questions regarding Exemptions, please e-mail: wc_exemption@myfloridacfo.com


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