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Get MI MIOSHA-300 2016-2023

Censing and Regulatory Affairs, MIOSHA, TSD, 530 West Allegan Street, P.O. Box 30643, Lansing MI 48909-8143. (517) 284-7788 Do not send the completed forms to this office. Check the "injury" column or choose one type of illness: All other illnesses (G) Enter the number of days the injured or ill worker was: Respiratory Condition (month/day) (E) (F) Where the event occurred Describe injury or illness, parts of body (e.g. Loading dock north affected, and object/substance that end) directly .

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