Form WC-114 Application for Reimbursement From the Compensation Supplement Fund - Michigan

What Is Form WC-114?

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-114?
A: Form WC-114 is an application for reimbursement from the Compensation Supplement Fund in Michigan.

Q: Who can use Form WC-114?
A: Employees who have suffered a work-related injury or illness in Michigan and are eligible for compensation from the Compensation Supplement Fund can use this form.

Q: What is the Compensation Supplement Fund?
A: The Compensation Supplement Fund is a fund in Michigan that provides additional compensation to eligible employees who have suffered a work-related injury or illness.

Q: What expenses can be reimbursed through Form WC-114?
A: Form WC-114 can be used to seek reimbursement for medical expenses, wage loss, vocational rehabilitation expenses, and other related costs.

Q: How do I submit Form WC-114?
A: Form WC-114 should be completed and submitted to the Michigan Workers' Compensation Agency.

Q: Is there a deadline for submitting Form WC-114?
A: Yes, there is a deadline for submitting Form WC-114. It is generally within two years from the date of the injury or last payment of benefits.