Get Michigan Form 112

Filling out the Michigan Form 112 can be a straightforward process when approached step-by-step. This guide offers a comprehensive overview of the form's components and detailed instructions to assist users in completing the form accurately online.

Follow the steps to effectively complete the Michigan Form 112

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by completing the section that requests personal information. Fill in the employee's name, social security number, birth date, and contact address. Ensure accuracy with the phone number and email.
3. In the carrier section, provide the necessary details for the insurance company or self-insured employer. Include the carrier federal identification number for verification purposes.
4. Indicate the employee's average weekly wage and the details related to discontinued fringes, if applicable. This information helps determine the payment amount.
5. Address the sections regarding dependents and whether there has been any change in basic benefits, ensuring you provide accurate names and dates of birth for dependents.
6. Follow through the relevant reimbursement sections based on the type of claims being made. Make sure to attach supporting documents as required, such as medical records and confirmation of dependents.
7. Review any applicable percentages related to dual employment or silicosis and logging industry compensation, providing thorough calculations as per the instructions.
8. Finally, ensure all details are double-checked for correctness. Once complete, save changes, download the form, print it, or share it as needed.

Don't wait — start filling out your Michigan Form 112 online today for a seamless experience.