Get Mi Wc-100 2013

Completing the MI WC-100 form online is a vital step in the reporting process for workplace injuries. This guide will provide you with clear and detailed instructions on how to fill out each section of the form accurately and effectively.

Follow the steps to successfully complete the MI WC-100 form.

1. Press the ‘Get Form’ button to access the MI WC-100 form and open it in your selected editor.
2. Begin by filling out the 'Employee Data' section. Provide details such as the employee's social security number, date of injury, name (last, first, middle initial), and address including city, state, and ZIP code. Ensure you also include the date of birth, sex, number of dependents, and telephone number.
3. Next, complete the 'Employer/Carrier Data' section. This requires the employer’s name, federal ID number, injury location code, mailing location code, UI number, and type of business. Include the employer's street address along with city, state, and ZIP code.
4. Proceed to the 'Injury/Medical Data' section. Here, you must provide the last day worked, return-to-work date (if applicable), and specify if the employee died as a result of the injury. Additionally, describe the nature of the injury, part of the body affected, and any object or substance involved in causing the harm.
5. In the 'Occupation and Wage Data' section, indicate the date hired, total gross weekly wage, and the occupation of the employee. Also clarify if the employee was a volunteer worker or certified as vocationally handicapped.
6. Finally, complete the 'Preparer Data' section by providing the preparer's name, signature, telephone number, and the date the report was prepared. Ensure that a copy of the report is given to the employee.
7. After filling out the entire form, review the entries for accuracy. You can then save changes, download, print, or share the MI WC-100 form as needed.

Ensure compliance and complete your documents online with confidence.