Drug-Free Workplace Premium Credit Program

Florida employers are permitted to implement a Drug-Free Workplace Program and are eligible to receive up to a 5% premium credit on a qualified program. A self-insurer that implements such a program, and provides the application to the Division, is also eligible to receive this premium credit. The Division applies this credit while imputing a premium to determine the Workers’ Compensation Administration Trust Fund and Special Disability Trust Fund assessments. In order to receive a Drug-Free Workplace Premium Credit, please verify that the program meets the requirements in the rule below and complete the application.

Form:

• DFS-F2-SI-8, Self-Insured Employer Application for Drug-Free Workplace Premium Credit Program Application

Rule:

• Drug-Free Workplace Premium Credit (69L-5.220, F.A.C.)

Florida Statutes:

• Legislative intent; drug-free workplaces (Section 440.101, F.S.)
• Drug-free workplace program requirements (Section 440.102, F.S.)

Mailing Address:

• Self-Insurance Unit
  Division of Workers’ Compensation
  Florida Department of Financial Services
  200 East Gaines Street
  Tallahassee, Florida 32399-4221

Email:

• SelfInsurance.Unit@MyFloridaCFO.com

Contact Us:

• Dwayne Manning (850) 413-1784