Clark v. Amazon — insolvency denial reversed because the official affidavit form omitted required marital-income information

Case
Amanda Clark v. Amazon.com Services, LLC; Zurich American Insurance Company; and Sedgwick CMS
Court
Florida First District Court of Appeal
Judge
LEWIS, M.K. THOMAS, and LONG, JJ.
Date Decided
October 7, 2026
Docket No.
1D2026-0971
Topics
workers’ compensation; appellate costs; insolvency; financial affidavits
Source
Read the full opinion

Background

Amanda Clark appealed in a workers’ compensation matter and sought relief from the cost of preparing the appellate record. The Judge of Compensation Claims denied her insolvency petition after finding that her financial affidavit disclosed her husband’s $1,700 monthly household contribution but did not disclose that he earned $3,200 per month.

Florida’s workers’ compensation statute and appellate rule require an appellant seeking relief from costs to disclose marital income and assets. But the official Office of the Judges of Compensation Claims affidavit form asked only for the identity, relationship, and monthly amount of any contributor. Clark completed every field on that form. She also testified under oath about her husband’s income and that it was inaccessible to her; the JCC found that any workers’ compensation benefits would accrue solely to Clark.

The Court’s Holding

The First District Court of Appeal reversed the denial and remanded for reconsideration. It held that the JCC should assess the totality of the circumstances, including the mismatch between the statutory and rule-based disclosure requirements and the deficient official affidavit form.

The court did not hold that marital income is irrelevant. Rather, it concluded that Clark’s completion of the official form could not, in these circumstances, be the basis for denying her petition. Her sworn testimony concerning her spouse’s income and lack of access to it, along with the nature of the benefits sought, were also relevant to the insolvency determination.

Key Takeaways

  • An insolvency determination must consider the totality of the circumstances, not solely an omission caused by an official form’s limited fields.
  • The OJCC affidavit form did not solicit all marital-income and asset information required by statute and appellate rule.
  • The court remanded for reconsideration and identified correction of the official form as the appropriate remedy.

Why It Matters

The decision prevents a workers’ compensation appellant from being penalized for accurately completing an official form that fails to request information required elsewhere by law. It also directs JCCs to consider sworn testimony and practical access to a spouse’s income when deciding whether an appellant may proceed without paying record costs.

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