Form WC-701 - State of Michigan 2026

Get Form
wc 701 Preview on Page 1

Here's how it works

01. Edit your wc 701 online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send wc 701 form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Form WC-701 - State of Michigan with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open Form WC-701 in our editor.
  2. Begin with Part A. Fill in your Social Security Number, Date of Injury, and Employee Name. Ensure accuracy as this information is crucial for processing.
  3. Continue completing the address fields for both the employee and employer, including city, state, and ZIP code.
  4. In Part B, provide details about the nature of the injury and average weekly wage. Be sure to include any discontinued fringes from previous employers.
  5. Move to Part C to specify the reason for filing and enter the weekly compensation base rate along with any adjustments.
  6. Finally, complete Parts D and E by detailing payment basis and coordination of benefits. Review all entries for completeness before submission.

Start using our platform today to fill out Form WC-701 easily and for free!

See more Form WC-701 - State of Michigan versions

We've got more versions of the Form WC-701 - State of Michigan form. Select the right Form WC-701 - State of Michigan version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2019 4.8 Satisfied (28 Votes)
2013 4.3 Satisfied (44 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
In Michigan, you can settle a workers comp case 6 months after your injury. On average, settlements take about 12 months from the pre-trial date, especially if there is disputes. Many workers comp cases in Michigan result in a settlement through negotiation.
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.
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.
Be aware that there are exemptions to the state law, such as: Agricultural employers, unless they have three or more employees working more than 35 hours a week for 13 weeks. Domestic workers, like housekeepers. Partners and officers of a partnership and corporation.
■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.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more
ccpa2
pci-dss
gdpr-compliance
hipaa
soc-compliance
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

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.
Weekly benefits are about 80% of your wages after taxes. Your first payment is due 14 days after the onset of your disability. However, your first payment isnt considered late until 30 days after the due date of your benefits.

Related links