Get Mi Wc-105a 2012-2026
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the MI WC-105A online
Filling out the MI WC-105A form online is an essential step for individuals seeking workers' compensation benefits in Michigan. This guide will provide you with clear instructions on how to accurately complete each section of the form.
Follow the steps to complete the MI WC-105A form online.
- Click the ‘Get Form’ button to obtain the MI WC-105A form and access it in the online editor.
- Begin with Section 1 – General Information. Enter your full name, social security number (last four digits), and contact information, including your street address, city, state, and ZIP code. Be sure to indicate whether you have a valid driver's license or government-issued photo ID.
- Proceed to Section 2 – Educational/Vocational/Military Background. Indicate your highest completed grade of education, note if you graduated from high school, and provide details of any special job training or certifications.
- In the same section, describe your computer experience and whether you have access to the Internet and an email address. List any specialized training or previous volunteer activities.
- Move to Section 3 – Employment Experience. List all your jobs since age 18 in chronological order along with the necessary details like employer name, address, job title, and dates of employment. Fill out a Job Detail Form for each position listed.
- Complete the Job Detail Form for each job. Provide information about your responsibilities, work environment, any tools or machines used, and physically demanding tasks.
- Once you have filled in all relevant sections and details, review the entire form for accuracy. Make any necessary edits before finalizing.
- Finally, save the completed MI WC-105A form. You can download, print, or share it as needed. Ensure that any additional pages include your full name and the last four digits of your social security number.
Complete the MI WC-105A online today to ensure your application for workers’ compensation benefits is handled efficiently.
To file a workers' comp claim in Michigan, start by notifying your employer about your injury. Next, complete the necessary forms, including the MI WC-105A, and submit them to your employer's insurance company. Keeping thorough documentation throughout this process can help ensure your claim is processed smoothly. Don't hesitate to seek assistance from professionals if you encounter challenges.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.