Form 105a form 2025

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4.3 out of 5

146 votes

The document is a Work History, Work Qualifications & Training Disclosure Questionnaire from the Michigan Department of Licensing and Regulatory Affairs, intended for individuals seeking workers' compensation benefits. It collects personal information, educational background, employment history, and skills to assist magistrates in determining entitlement to benefits. Completion of the form is voluntary, and it emphasizes the importance of sharing the information among involved parties.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (100 Votes)
2012	4.3 Satisfied (146 Votes)

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