Form WC-404 Workers' Compensation Agency Service Company Application - Michigan

Form WC-404 Workers' Compensation Agency Service Company Application - Michigan

What Is Form WC-404?

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.

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-404 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.

ADVERTISEMENT

Download Form WC-404 Workers' Compensation Agency Service Company Application - Michigan

4.6 of 5 (7 votes)
  • Form WC-404 Workers' Compensation Agency Service Company Application - Michigan

    1

  • Form WC-404 Workers' Compensation Agency Service Company Application - Michigan, Page 2

    2

  • Form WC-404 Workers' Compensation Agency Service Company Application - Michigan, Page 3

    3

  • Form WC-404 Workers Compensation Agency Service Company Application - Michigan, Page 1
  • Form WC-404 Workers Compensation Agency Service Company Application - Michigan, Page 2
  • Form WC-404 Workers Compensation Agency Service Company Application - Michigan, Page 3
Prev 1 2 3 Next
ADVERTISEMENT