Form WC-100 Employer's Basic Report of Injury - Michigan

Form WC-100 Employer's Basic Report of Injury - Michigan

What Is Form WC-100?

This is a legal form that was released by the Michigan Department of Labor and Economic Opportunity - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WC-100?
A: Form WC-100 is the Employer's Basic Report of Injury in Michigan.

Q: Who needs to complete Form WC-100?
A: Employers in Michigan need to complete Form WC-100 when an employee is injured or becomes ill on the job.

Q: What information is required on Form WC-100?
A: Form WC-100 requires information about the injured employee, the employer, and the details of the injury or illness.

Q: When should Form WC-100 be completed and submitted?
A: Form WC-100 should be completed and submitted within 7 days of the injury or illness.

Q: Is Form WC-100 confidential?
A: Yes, Form WC-100 is considered confidential and is used for workers' compensation purposes only.

Q: What happens after Form WC-100 is submitted?
A: After Form WC-100 is submitted, the workers' compensation claim will be processed and evaluated by the relevant authorities.

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Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the Michigan Department of Labor and Economic Opportunity;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form WC-100 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.

Download Form WC-100 Employer's Basic Report of Injury - Michigan

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