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Form WC-402A Self-insurer Request to Add or Delete Subsidiary / Affiliate - Michigan
What Is Form WC-402A?
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-402A?
A: Form WC-402A is a self-insurer request form used in Michigan.
Q: What is the purpose of Form WC-402A?
A: The purpose of Form WC-402A is to add or delete a subsidiary or affiliate as a self-insurer.
Q: Who uses Form WC-402A?
A: Self-insurers in Michigan use Form WC-402A.
Q: What information is required on Form WC-402A?
A: Form WC-402A requires information about the subsidiary or affiliate being added or deleted.
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 WC-402A by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.
