This is one of the official workers' compensation forms for the state of Michigan
Michigan Application for Reimbursement for Workers' Compensation
State:
Michigan
Control #:
MI-BWC112-WC
Format:
Word;
PDF;
Rich Text
Instant download
This website is not affiliated with any governmental entity
Public form
Description
How to fill out Michigan Application For Reimbursement For Workers' Compensation?
Obtain any variant from 85,000 legal documents including the Michigan Application for Reimbursement for Workers' Compensation online through US Legal Forms. Each template is developed and revised by state-certified attorneys.
If you have a membership, sign in. Once you are on the form’s page, click the Download button and navigate to My documents to access it.
If you haven't subscribed yet, adhere to the guidelines outlined below.
With US Legal Forms, you will always have easy access to the right downloadable template. The platform provides access to forms and categorizes them to make your search easier. Use US Legal Forms to quickly and effortlessly acquire your Michigan Application for Reimbursement for Workers' Compensation.
- Review the state-specific requirements for the Michigan Application for Reimbursement for Workers' Compensation you wish to utilize.
- Browse through the description and preview the template.
- Once you confirm the template meets your needs, click on Buy Now.
- Choose a subscription plan that suits your financial situation.
- Establish a personal account.
- Make payment using one of two convenient methods: by credit card or through PayPal.
- Select a format to download the document in; two options are available (PDF or Word).
- Download the file to the My documents section.
- After your reusable template is downloaded, print it or save it to your device.
Form popularity
FAQ
If you are unable to work due to your injury or disease, you are entitled to benefits to compensate for your lost wages. This is a weekly monetary payment of approximately 80% of your post-tax average weekly wage. However, the weekly benefit cannot exceed a maximum set by law each year, which is $921 for 2019.
Now, worker's compensation insurance has become more than just money for lost wages. Depending on what state you live in, worker's compensation insurance can provide money for lost wages, reimbursement for medical bills, and even life insurance for your dependents if you die on the job.
If your employer does not file a claim for you, you may file form WC-117 with the Agency. If the insurance company or self-insured employer disputes your claim, you may need to submit a form WC-104A, Application for Mediation, or Hearing.
Workers' compensation provides limited reimbursement for medical expenses and lost wages for employees injured at work or who become ill because of work-related conditions.
