Get Michigan Assigned Claims Application

This guide provides clear, step-by-step instructions for filling out the Michigan Assigned Claims Application online. Whether you have legal experience or not, this resource is designed to help you navigate the process with ease.

Follow the steps to complete your application effectively.

1. Click ‘Get Form’ button to obtain the form and access it in the editing interface.
2. Begin by entering the injured person's information in the designated fields. This includes their name, date of birth, social security number, and current address. Ensure that all sections are fully completed.
3. Proceed to the accident information section. Provide detailed answers regarding the accident location, your insurance status at the time of the accident, and a full description of how the accident occurred. Include any police report details if applicable.
4. Fill out the injury information section. Indicate if you are claiming injuries from the accident and provide the names and addresses of any medical treatment received post-accident.
5. Complete the employment information section. Detail your employment status at the time of the accident and any income lost due to your injuries.
6. In the entitlement information section, specify any damages to your vehicle or the vehicle involved in the accident. List insurance information and the contact details of relevant parties.
7. Review the entire application for completeness and accuracy. A signature is required, as well as acknowledgment of the fraud warning.
8. Finally, save your changes, download the completed form, and print or share it as necessary.

Complete your Michigan Assigned Claims Application online today to ensure prompt processing of your claim.