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For all information regarding auto accident insurance (PIP) reimbursement regulation, please contact:
Department of Financial Services – Office of Insurance Regulation
1 (877) 693-5236
To obtain a copy of the PIP certification forms,
please visit the links below or call the number referenced above.
These forms can be submitted with your accident health insurance claims.
[DO NOT send these forms to a state agency or department]
Health Care Provider Certificate of Eligibility for PIP Benefits form
[OIR-B1-1809 (New 1/2008)]
Certification of Medical Services or Care Lawfully Provided, Supervised, Ordered or Prescribed
Pursuant to Section 627.736(1)(a), Florida Statutes
[OIR-B1-1773 (5/2008)]
Health Facility Regulation |
Health Care Clinics |
Important Notices & Alerts |
HCC Statutes/Rules | Applications and Instructions | Other Licensing Requirements | Find a HCC Clinic
