The Michigan Supplemental Report of Fatal Injury (fill-in form) is a form used to document the details of a fatal work-related injury. It is required for all workplace fatalities that occur in the state of Michigan. The form is used to collect data that can be used to identify the cause and circumstances of the death, as well as the victim's work and personal history. There are three types of Michigan Supplemental Report of Fatal Injury (fill-in form): 1. The Initial Report of Fatal Injury (fill-in form) is completed by the investigating officer and contains information about the victim, the incident, the worksite, and the safety violations (if any). 2. The Follow-Up Report of Fatal Injury (fill-in form) is submitted by the employer or the employer's representative and contains information about the victim's job duties, the worksite, and any safety measures that were in place at the time of the incident. 3. The Final Report of Fatal Injury (fill-in form) is submitted by the employer or the employer's representative and contains a summary of the incident, the victim's job duties, and any safety measures that were in place at the time of the incident. The Michigan Supplemental Report of Fatal Injury (fill-in form) is an important part of the investigation process for workplace fatalities and helps to ensure that the cause and circumstances of the death are accurately documented.
Michigan Supplemental Report of Fatal Injury (fill-in form)
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How to fill out Michigan Supplemental Report Of Fatal Injury (fill-in Form)?
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FAQ
Weekly benefits are roughly 80 percent of your after-tax wages. If your employer will not file a claim for you, you may file form WC-117 with the Agency.
Does Michigan Require Workers' Compensation? 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.
The statute states that you should provide notice of injury to the employer within 90 days of the injury. However, you have up to two years from the date of injury, or the date the disability manifests itself, to file a workers' compensation claim.
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.
?How Long Do I Have To File A Claim The statute states that you should provide notice of injury to the employer within 90 days of the injury. However, you have up to two years from the date of injury, or the date the disability manifests itself, to file a workers' compensation claim.
Getting Your Benefits After you report your injury, there is a seven-day waiting period before you can get wage-loss benefits. The seven days include weekends and holidays. You are eligible for benefits on the eighth day.