Michigan workers comp form 2025

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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.
Form DWC 1 is the official form that California businesses and employees use to file a workers compensation claim. The employee fills out a portion of the form, and the employer fills out the remainder. The employer then sends the completed form to their workers comp insurance company in order to file a claim.
Youll 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.
WC-337 (12/15) Notice of Exclusion provided by the Michigan Department of Labor Workers Compensation Agency, is used to exclude certain individuals from insurance coverage as permitted by statute. To. find out whether you qualify for this exclusion and obtain a copy of the form, contact the Compliance Employer.
In Michigan, workers comp pays employees hurt on the job 80% of their after-tax average weekly wage. This is calculated using the highest 39 weeks out of 52. Overtime, discontinued fringe benefits, and second jobs should be included.
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Workers comp is also a vital form of protection for employees who may not be able to shoulder the burden of medical expenses after an on-the-job injury. Given its benefit to both employers and employees, it would seem that claims should be filed as soon as possible after an injury incident.
If and when you begin paying benefits to an injured employee, you also must file Form WC-701, Notice of Compensation Payments. Beyond these initial steps, there are subsequent steps to the WC claims process, not covered here.

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