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Click ‘Get Form’ to open the Michigan Employer Disclosure in the editor.
Begin by entering the employee's name and the last four digits of their Social Security Number, followed by their date of birth.
In Section 1, provide the full name of the employer, along with the address, city, state, and ZIP code where the employee was employed.
Move to Section 2 and detail the employment information. Include dates of employment and wages for each week prior to the alleged injury. If applicable, attach additional pages for comprehensive details.
Describe any fringe benefits received by the employee during their employment and include relevant records as specified in the form.
Complete all remaining sections regarding job duties, licensing requirements, job offers post-injury, and termination status. Ensure all responses are clear and concise.
Finally, have an employer representative sign and date the form before exchanging it among all parties involved.
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What can a previous employer disclose in Michigan?
Regarding employer immunity, under Michigan law, an employers good faith disclosure of information from a former employees employment file about his work performance or qualifications is permitted under Michigan law.
Can a previous employer disclose a reason for leaving?
If you were fired or terminated from employment, the company can say so. They can also give a reason. For example, if someone was fired for stealing or falsifying a time sheet, they can explain why the employee was terminated.
What is the Michigan disclosure form?
Generally, Section 43(g) of the law prevents an unemployed worker from receiving any unemployment benefits based on work for the workers child or spouse, and based upon work for the workers parent if the worker was under age 18 at the time the work was performed.
What is the right to Know Act in Michigan?
Act 397 of 1978 AN ACT to permit employees to review personnel records; to provide criteria for the review; to prescribe the information which may be contained in personnel records; and to provide penalties.
What is the Sunshine law in Michigan?
The Open Meetings Act, Public Act No. 267 of 1976, protects your right to know whats going on in government by opening to full public view the processes by which elected and nonelected officials make decisions on your behalf.
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ENROLLED HOUSE BILL No. 5523 - Michigan Legislature
An employer shall not do any of the following: (a) Request an employee or an applicant for employment to grant access to, allow observation of, or disclose.
Mich. Admin. Code R. 205.1004 - Confidentiality of information
A private contractor or its employees shall not disclose taxpayer information to a third party. The prohibition against disclosure does not bar an employee of
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