Florida Rule of Appellate Procedure 9.900(a) provides a sample form of a notice of appeal. However, unlike the sample form, the workers’ compensation notice of appeal must contain a certification of the benefits affected by the appeal. See Florida Rule of Appellate Procedure 9.180(b). This means that a claimant appealing the trial judge’s denial of certain money and medical benefits, must write in the notice of appeal that they are appealing those particular benefits. See Florida Rule of Appellate Procedure 9.180(b)(3).
As an example, a claimant who lost a request for temporary indemnity (money) benefits for the period of January 1, 2015, through May 31, 2015, and a request for authorization of a psychiatrist for evaluation and treatment, would state in the notice of appeal that:
I hereby certify that this appeal affects only the following periods and classifications of benefits and medical treatment:If the order entered by the trial judge is titled “Abbreviated Final Order” or uses similar wording, the claimant who wishes to appeal must first file with the trial judge a request for findings of fact and conclusions of law before they can file a notice of appeal. The request for findings of fact and conclusions of law must be filed (not mailed) with the trial judge no later than 10 days from the date the trial judge’s office stated that it mailed the order. The filing of this request delays the time for filing notice of appeal until the judge mails or emails an order granting or denying the request.1. temporary indemnity benefits for the period of January 1, 2015, through May 31, 2015, and
2. authorization of a psychiatrist for evaluation and treatment.
