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Form B (WC-104B) Application for Mediation or Hearing - Michigan
What Is Form B (WC-104B)?
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 B (WC-104B)?
A: Form B (WC-104B) is an application for mediation or hearing in Michigan.
Q: What is the purpose of Form B (WC-104B)?
A: The purpose of Form B (WC-104B) is to request mediation or a hearing in a worker's compensation case in Michigan.
Q: When should I use Form B (WC-104B)?
A: You should use Form B (WC-104B) when you want to request mediation or a hearing in your worker's compensation case.
Q: What information do I need to provide on Form B (WC-104B)?
A: On Form B (WC-104B), you will need to provide your personal information, details of your worker's compensation case, and the type of relief you are seeking.
Q: What should I do with the completed Form B (WC-104B)?
A: Once you have completed Form B (WC-104B), you should submit it to the Michigan Workers' Compensation Agency according to their instructions.
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;
- Fill out the form in our online filing application.
Download a fillable version of Form B (WC-104B) by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.
Download Form B (WC-104B) Application for Mediation or Hearing - Michigan
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