The Michigan Employee's Report of Claim (fill-in form) is a document provided by the State of Michigan to be used by employees to report claims for compensation resulting from job-related injuries or illnesses. The form is used to report the details of the injury or illness, including the date and time it occurred, the description of the injury or illness, the body part affected, the type of injury or illness, the job duties that caused the injury or illness, and any medical costs associated with the injury or illness. The form is also used to provide contact information for the claimant and the employer, as well as to document the employee's right to file a workers' compensation claim. There are two types of Michigan Employee's Report of Claim (fill-in form): one for the employee and one for the employer. The employee's version includes sections for the employee to provide information about the injury or illness, the employee's contact information, and the employer's contact information. The employer's version of the form includes sections for the employer to provide information about the injury or illness, the employee's contact information, and the claim's status.
Michigan Employee's Report of Claim (fill-in form)
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FAQ
There is a seven-day waiting period for wage loss benefits in Michigan.
Workers' Compensation (WC) is a benefit that will pay for reasonable and necessary medical care if you have experienced a work-related illness or injury. 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.
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.
?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.
In case of the death of the employee, the claim shall be made within 2 years after death. The employee shall provide a notice of injury to the employer within 90 days after the happening of the injury, or within 90 days after the employee knew, or should have known, of the injury.
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.
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.