This is one of the official workers' compensation forms for the state of Michigan
Michigan Application for Reimbursement for Workers' Compensation
State:
Michigan
Control #:
MI-BWC112-WC
Format:
Word;
PDF;
Rich Text
Instant download
This website is not affiliated with any governmental entity
Public form
Description Workers' Compensation Forms
How to fill out Michigan Application For Reimbursement For Workers' Compensation?
Get any form from 85,000 legal documents such as Michigan Application for Reimbursement for Workers' Compensation on-line with US Legal Forms. Every template is drafted and updated by state-certified lawyers.
If you have a subscription, log in. When you are on the form’s page, click the Download button and go to My Forms to get access to it.
If you haven’t subscribed yet, follow the tips listed below:
- Check the state-specific requirements for the Michigan Application for Reimbursement for Workers' Compensation you would like to use.
- Look through description and preview the template.
- As soon as you are sure the template is what you need, click on Buy Now.
- Select a subscription plan that works well for your budget.
- Create a personal account.
- Pay out in just one of two suitable ways: by bank card or via PayPal.
- Pick a format to download the document in; two ways are available (PDF or Word).
- Download the file to the My Forms tab.
- After your reusable template is downloaded, print it out or save it to your gadget.
With US Legal Forms, you’ll always have quick access to the proper downloadable template. The platform gives you access to forms and divides them into groups to simplify your search. Use US Legal Forms to obtain your Michigan Application for Reimbursement for Workers' Compensation fast and easy.
Form popularity
FAQ
If you are unable to work due to your injury or disease, you are entitled to benefits to compensate for your lost wages. This is a weekly monetary payment of approximately 80% of your post-tax average weekly wage. However, the weekly benefit cannot exceed a maximum set by law each year, which is $921 for 2019.
Now, worker's compensation insurance has become more than just money for lost wages. Depending on what state you live in, worker's compensation insurance can provide money for lost wages, reimbursement for medical bills, and even life insurance for your dependents if you die on the job.
If your employer does not file a claim for you, you may file form WC-117 with the Agency. If the insurance company or self-insured employer disputes your claim, you may need to submit a form WC-104A, Application for Mediation, or Hearing.
Workers' compensation provides limited reimbursement for medical expenses and lost wages for employees injured at work or who become ill because of work-related conditions.