Three ways to schedule an appointment for an injured worker.

  • Online:* Complete the online authorization form below.
  • Fax:* 352-336-6046. Print WC Authorization form here. Complete it and fax it.
  • Call: 386-518-6870

*The Workers' Compensation department will contact you within 2 hours of receipt.

Online WC Appointment/Authorization Request

This online form is for authorized agents only. Simply complete and submit the online authorization form below.

* indicates a required field.

This online form is for authorized agents only. Simply complete and submit the online authorization form below.

* indicates a required field.