- Addendum To Agreement To Redeem Liability {WC-556A}
- Affidavit In Support Of Redemption (Settlement) Agreement {WC-119}
- Agreement To Redeem Liability {WC-556}
- Amputation Chart {WC-728}
- Application For Advance Payment {WC-108}
- Application For Agency Approval As A Rehabilitation Facility {WC-502}
- Application For Authorization For Servicing Agent FTS User Account {WC-450}
- Application For Certification Of Carriers Professional Health Care Review Program {WC-590}
- Application For First Responder Presumed Coverage Fund {WC-272}
- Application For FTS User Account (Attorneys) {WC-480}
- Application For FTS User Account (Carriers And Self Insured Employers) {WC-460}
- Application For Mediation Or Hearing-Form A {WC-104A}
- Application For Mediation Or Hearing-Form B {WC-104B}
- Application For Mediation Or Hearing-Form C {WC-104C}
- Application For Reimbursement (From Funds Administration) {FA-112}
- Application For Reimbursement From The Compensation Supplement Fund {WC-114}
- Application For Reimbursement From The Medical Benefits Fund {BWC-271}
- Authorization To Disclose Confidential Workers Compensatin Information {WC-155}
- Carriers Explanation Of Benefits {WC-739}
- Carriers Response {WC-251}
- Claim For Review {WC-262}
- Employees Report Of Claim {WC-117}
- Employer Disclosure Questionnaire {WC-105B}
- Employers Basic Report Of Injury {WC-100}
- Group Self-Insurer Application {WC-402GR}
- Group Self-Insurer Application Packet {WC-402G}
- Instructions For Notice Of Compensation Payments Form With Examples {BWC-701}
- Insurers Notice Of Issuance Of Policy {WC-400}
- Insurers Notice Of Name Or Address Change {WC-403}
- Letter Of Credit-Memorandum Of Understanding
- Michigan Certificate Of Specific Or Aggregate Excess Liability Insurance (Self Insurer)
- Michigan Continuous Surety Bond (Self Insurer)
- Multiple Carrier Redemption Form {WC-113A}
- Notice Of Compensation Payments {WC-701}
- Notice Of Dispute {WC-107}
- Notice Of Termination Of Liability {WC-401}
- Opinion Order {WC-200}
- Providers Report Of Claim And Request For Medical Payment {WC-117H}
- Providers Request For Reconsideration {WC-750}
- Redemption Order {WC-113}
- Request For Compliance Hearing {WC-40}
- Self Insurers Claims Transfer Agreement
- Self-Insured Group Notice Of Acceptance Of Membership {WC-650}
- Self-Insured Group Notice Of Termination Of Membership {WC-651}
- Self-Insurer Request To Add Or Delete Subsidiary Affiliate {WC-402A}
- Subpoena For Production Of Records And Or Witness Subpoena {WC-508}
- Supplemental Report Of Fatal Injury {WC-106}
- Vocational Rehabilitation Provider Professional Disclosure Statement {WC-500}
- Voluntary Payment Form {WC-115}
- Work History Work Qualifications And Training Disclosure Questionnaire {WC-105A}
- Workers Compensation Agency Service Company Application {WC-404}
- Workers Disability Compensation Self-Insurer Application {WC-402}
- Workers Settlement Statement {WC-544}