Form WC-272 Application for First Responder Presumed Coverage Fund - Michigan

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Form WC-272 Application for First Responder Presumed Coverage Fund - Michigan

What Is Form WC-272?

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-272?A: Form WC-272 is the Application for First Responder Presumed Coverage Fund in the state of Michigan.

Q: Who can use Form WC-272?A: First responders in Michigan can use Form WC-272 to apply for coverage under the Presumed Coverage Fund.

Q: What is the Presumed Coverage Fund?A: The Presumed Coverage Fund provides compensation and benefits to eligible first responders who suffer from certain occupational diseases.

Q: What is the purpose of Form WC-272?A: The purpose of Form WC-272 is to collect information about the first responder's exposure to certain occupational diseases and to assess eligibility for benefits from the Presumed Coverage Fund.

Q: Is there a deadline for submitting Form WC-272?A: Yes, there is a deadline for submitting Form WC-272. The exact deadline may vary, so it is important to check the instructions on the form or contact the Michigan Workers' Compensation Agency for the most up-to-date information.

Q: What supporting documents are required with Form WC-272?A: Supporting documents may include medical records, exposure history, and any other relevant documentation that can help establish a connection between the first responder's illness and their occupation.

Q: Who should I contact if I have questions about Form WC-272?A: If you have questions about Form WC-272 or the Presumed Coverage Fund, you can contact the Michigan Workers' Compensation Agency for assistance.

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Form Details:

  • Released on December 1, 2020;
  • 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;
  • Fill out the form in our online filing application.

Download a fillable version of Form WC-272 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.

Download Form WC-272 Application for First Responder Presumed Coverage Fund - Michigan

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