Michigan Injury Report Form
Description
How to fill out Injury Report Form?
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FAQ
You'll need workers' comp if you have three or more employees, or one employee working more than 35 hours per week for 13 weeks or longer. Both public and private employers need Michigan workers' compensation coverage.
The official form that needs to be completed is W.Cl 2 ? Notice of Accident and Claim for Compensation. This form should be completed whenever an employee meets with an accident out of or in course of employment that leads to personal injury or where medical treatment is required or in the case of death.
If the employee is booked off due to an IOD for 4 days or longer, but less than 3 months, the employer must pay the injured employee at a rate of at least 75% of his earnings, from the first day, until the employee returns to work. Please note that earnings are not only the basic salary of the worker.
When an injury/illness occurs: Immediately notify your supervisor. Seek treatment at an Occupational Health Care Clinic. Submit a Workers' Compensation Claim: Apply Online, or. Print, complete, and fax a State of Michigan Workers' Compensation Claim Form.
?How Long Do I Have To File A Claim The statute states that you should provide notice of injury to the employer within 90 days of the injury. However, you have up to two years from the date of injury, or the date the disability manifests itself, to file a workers' compensation claim.
In Michigan, you have 90 days to report a work related injury. This can be oral so simply telling a manger or supervisor that you were hurt is enough. However, it is a good idea to fill out an accident report so there is written proof. If your employer does not have a form, just make one yourself.
How much is paid in workers' compensation? Generally, workers receive 80% of the after-tax value of their wage loss. A determination is made about the worker's ?average weekly wage? before the injury. The worker would then be entitled to 80% of the after-tax value of that average weekly wage.
When an injury/illness occurs: Immediately notify your supervisor. Seek treatment at an Occupational Health Care Clinic. Submit a Workers' Compensation Claim: Apply Online, or. Print, complete, and fax a State of Michigan Workers' Compensation Claim Form.