Insurance Requirements and Contracts Section

 
Self-Insurance Letter (PDF)

Sample Certificate of Insurance

• Certificate Sample (PDF)

Please submit documents to:
     
     Risk Management Division
     Insurance Requirements & Contracts Section
     115 South Andrews Ave, #210
     Ft Lauderdale, FL 33301
     Phone: 954-357-7210
     Fax: 954-357-5456

You may email the documents to the appropriate email address listed below:

• InsuranceRequirements@Broward.org
  
• CertificatesofInsurance@Broward.org

Liability Section

• Broward County General Public Notice of Injury or Property Damage Form (PDF) 

Workers’ Compensation Section

• Instructions for completing the State DWC-1 First Report of Injury or Illness Form (PDF)
• State DWC 1 First Report of Injury or Illness Form (keyboard enterable PDF)
   

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