NICA Board Parent/Guardian Participant Application

Dear Families,

I have had inquiries from many of you about the new position on the NICA Board of Directors for a NICA Parent or Guardian representative.  The Chief Financial Officer, Jimmy Patronis, will be making the appointment and has requested I send you the attached application to serve on The Florida Birth-Related Neurological Injury Compensation Association (NICA) Board.

If you are interested in being considered for this position, please complete and submit the attached application.  Instructions for “NICA Participant Application” are provided by Chief Financial Officer Jimmy Patronis as follows:

NICA Participant Application 

Florida Birth-Related Neurological Injury Compensation Association

Complete this form in its entirety and return to the Florida Department of Financial Services (DFS)  
Email address provided: Appointments@MyFloridaCFO.com
Or you may choose to print and mail to: Florida Department of Financial Services
Chief Financial Officer Jimmy Patronis
Attn: Internal Affairs
200 East Gaines Street
Tallahassee, Florida 32399-0301
Contact DFS at (850) 413-2850 with any questions or concerns. 

 

Note: It is requested you Contact DFS at (850) 413-2850 with any questions or concerns. 

Sincerely,

Kenney Shipley

Executive Director

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