Loading
Form preview picture

Get MI WC-100 2019-2024

MI 48909 An employer shall report immedia tely to the agen cy on Form WC-100 all injuries, including diseases, which arise out of and in the course of the employment, or on which a claim is made and result in any of the following: (a) Disability extending beyond seven (7) consecutive days, not including the date of injury; (b) Death; (c) Specific losses. In case of death, an employer shall also immediately file an additional report on WC-106. See instructions on reverse side for filing/mailing .

How It Works

basic report of injury michigan rating
4.81Satisfied
144 votes

Tips on how to fill out, edit and sign Michigan workers comp forms online

How to fill out and sign Form basic report online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The days of distressing complicated legal and tax documents have ended. With US Legal Forms filling out legal documents is anxiety-free. The best editor is already at your fingertips giving you a range of beneficial instruments for completing a MI WC-100. These guidelines, in addition to the editor will help you through the whole process.

  1. Hit the Get Form option to start filling out.
  2. Turn on the Wizard mode on the top toolbar to have additional recommendations.
  3. Fill each fillable area.
  4. Ensure the data you fill in MI WC-100 is up-to-date and correct.
  5. Include the date to the sample using the Date function.
  6. Click on the Sign button and create an e-signature. You can find 3 available options; typing, drawing, or uploading one.
  7. Check once more each and every field has been filled in properly.
  8. Select Done in the top right corne to save and send or download the file. There are many options for receiving the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

We make completing any MI WC-100 faster. Use it now!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing michigan 100

Avoid legal professional fees for acquiring and preparing your Form. Discover all the tips and tricks you require in our video guide to begin saving money on formal papers.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to state of michigan work comp exclusion form

  • michigan form wc
  • michigan employer's basic report of injury
  • state of michigan workers compensation forms
  • form 100 workers compensation
  • ocr 100 fillable
  • michigan ocr 100
  • michigan form wc 100
  • injury form 100
  • workers comp form 100
  • basic injury report form
  • michigan employers report
  • michigan wc 100
  • wc report
  • ocr 100 fillable uslegal
  • mi form 100
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.