Michigan Notice of Compensation Payments (fill-in form)

State:
Michigan
Control #:
MI-BWC-701
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PDF
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Notice of Compensation Payments (fill-in form)
The Michigan Notice of Compensation Payments (fill-in form) is used by employers in the State of Michigan to report wages and benefits paid to employees. The form is required by the Michigan Department of Treasury, in accordance with Michigan Public Act 152 of 1965. It is used to report employee wages, compensation, and other benefits, including vacation, sick leave, and retirement. There are two types of Michigan Notice of Compensation Payments (fill-in form): the Michigan Quarterly Notice of Compensation Payments (Form 4642) and the Michigan Annual Notice of Compensation Payments (Form 4643). The Quarterly Notice form must be completed and submitted to the Department of Treasury each quarter, and includes information on wages, compensation, and other benefits paid in the previous quarter. The Annual Notice form must be completed and submitted to the Department of Treasury each year, and includes information on wages, compensation, and other benefits paid in the entire fiscal year. Both forms contain sections for employer information, employee information, and payment information.

The Michigan Notice of Compensation Payments (fill-in form) is used by employers in the State of Michigan to report wages and benefits paid to employees. The form is required by the Michigan Department of Treasury, in accordance with Michigan Public Act 152 of 1965. It is used to report employee wages, compensation, and other benefits, including vacation, sick leave, and retirement. There are two types of Michigan Notice of Compensation Payments (fill-in form): the Michigan Quarterly Notice of Compensation Payments (Form 4642) and the Michigan Annual Notice of Compensation Payments (Form 4643). The Quarterly Notice form must be completed and submitted to the Department of Treasury each quarter, and includes information on wages, compensation, and other benefits paid in the previous quarter. The Annual Notice form must be completed and submitted to the Department of Treasury each year, and includes information on wages, compensation, and other benefits paid in the entire fiscal year. Both forms contain sections for employer information, employee information, and payment information.

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FAQ

When an injury/illness occurs: Immediately notify your supervisor. Seek treatment at an Occupational Health Care Clinic. Submit a Workers' Compensation Claim: Apply Online, or. Print, complete, and fax a State of Michigan Workers' Compensation Claim Form.

Chances are, your Michigan business is required to have workers' compensation insurance. You'll need workers' comp if you have three or more employees, or one employee working more than 35 hours per week for 13 weeks or longer. Both public and private employers need Michigan workers' compensation coverage.

After a work related car accident in Michigan, Workers' Compensation is primarily held responsible for paying a victim's medical bills and lost wages if the victim was employed at the time he or she was injured in the collision. Workers' Compensation pays first before other insurance, such as No-Fault.

Michigan workers' compensation rates 2023 have now been published. The maximum weekly comp rate for 2023 is $1,095.00 ($56,940 annually). This is based upon 90% of the state average weekly wage, which is $1,216.18. The maximum is to limit disabled employees to what most people in Michigan are earning.

If you're unable to work at all and are entitled to wage-loss benefits, you'll generally receive 80% of your pre-injury wages (based on the after-tax value of the average weekly wages in the 39 highest-paid weeks out of the 52 weeks before you were injured or became ill).

Sole proprietors only require a workers' compensation policy when they have 1 full time or 3 part-time employees. The owner of a sole proprietor is not considered an employee of the business.

Michigan law requires employers to have workers' comp insurance for independent contractors. It only takes 1 employee working 35 hours or longer for 13 weeks or more to trigger this requirement. Failure to have workers' comp could result in civil and criminal penalties. Workers' comp benefits must also still be paid.

Any business with one or more employees is required to carry workers' compensation insurance in Michigan. This policy provides medical benefits for work-related injuries.

More info

N.C. Workers' Compensation Notice to Injured Workers and Employers. Federal Employee's Notice of Traumatic Injury and.Employers use Form 941 to: Report income taxes, Social Security tax, or Medicare tax withheld from employee's paychecks. Report the payment in box 3 (rather than as nonemployee compensation). See the Example that follows. The South Carolina Workers' Compensation Commission offers all of its forms in PDF fillable format, or that they can be printed out and completed manually. Fill out the WC-14 form as completely as possible. 1) Fill out and submit the "Initial Report or Claim" Form (DLSE Form 1). However, the employer must notify the provider in writing, within 30 days of receipt of the bill, explaining the reason for refusing payment or adjusting fees. The State of Michigan does not ordinarily pay workers' compensation benefits.

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Michigan Notice of Compensation Payments (fill-in form)