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Workers' Compensation AgencyMichigan.gov, Official Web Site for the State of Michigan
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What's New

• New Employee Work Questionnaire Form WC-105A and New Employer Disclosure Questionnaire Form WC-105B

• New Hours of Operation at Some Hearing Sites

• CMS Life Expectancy Table

• Revised Subpoena Rule for Board of Magistrates

• Governor Granholm Makes Appointment to Board of Magistrates

Forms & Publications

• Workers' Disability Compensation Act of 1969, Act 317 of 1969 PDF icon

• Board of Magistrates Administrative Rules

• WC-104A (2/04) - Plaintiff's Application for Mediation or Hearing

• WC-104C (4/05) - Defendant's Application for Mediation or Hearing

• WC-105A (8/08) Work History, Work Qualifications & Training Disclosure Questionnaire (fill-in form) PDF icon

• WC-105B (10/08) Employer Disclosure Questionnaire (fill-in form) PDF icon

• WC-113 (1/04) - Redemption Order (fill-in form) PDF icon

• BWC-113 (Español) - Demanda de Redención PDF icon

• WC-113A (8/05) - Multiple Carrier Redemption Form (fill-in form) PDF icon

• WC-115 (5/05) - Voluntary Payment Form (fill-in form) PDF icon

• WC-119 (8/05) - Affidavit in Support of Redemption (settlement) Agreement (fill-in form) PDF icon

• BWC-119 (Español) - Declaracion que Apoya el Acuerdo de Redencion PDF icon

• WC-251 (8/05) - Carrier's Response (fill-in form) PDF icon

• WC-262 (4/05) - Claim/Cross-Claim for Review (fill-in form) PDF icon

• WC-508 (2/07) - Subpoena for Production of Records (and/or) Witness Subpoena (fill-in form) PDF icon

• WC-544 (7-05) - Worker's Settlement Statement (fill-in form) PDF icon

• BWC-544 (Español) - Declaración del Acuerdo del Trabajador PDF icon

• WC-556 (5/05) - Agreement to Redeem Liability (fill-in form) PDF icon

• BWC-556 (Español) - Acuerdo Para Redimir Responsabilidad PDF icon

Other Information

• Accumulative Table of Days PDF icon

• Accumulative Table of Days-How to Calculate WC Periods

• CMS Life Expectancy Table

• Court Reporting/Recording Firms

• Department of Health and Human Services -- New Policies for Medicare and Medicaid Services / Lump Sum Settlements PDF icon

• Franges Worksheet (calculating fill-in form) PDF icon

• Franges Worksheet (calculating Excel worksheet) Excel icon

• Magistrate Docket Assignment List

• Magistrates' Term Dates PDF icon

• Medicare Frequently Asked Questions PDF icon

• Michigan Court of Appeals and Supreme Court Opinions

• Present Value Table PDF icon

• Social Security Administration's Period Life Table (Mortality)

• WC Appellate Commission Opinions

Current Statistics

• Magistrate Disposition Statistics - 2008

• Pending/Aged Cases Report by Hearing Site as of 11/30/08

• New Cases Opened by Month - 2008

Historical Statistics

• Magistrate Disposition Statistics - 2007

• Magistrate Disposition Statistics - 2006

• Magistrate Disposition Statistics - 2005

• Magistrate Disposition Statistics - 2004

• Magistrate Disposition Statistics - 2003

• Magistrate Disposition Statistics - 2002

• Magistrate Disposition Statistics - 2001

• Magistrate Disposition Statistics - 2000

• Magistrate Disposition Statistics - 1999

• Magistrate Disposition Statistics - 1998

• Magistrate Disposition Statistics - 1997

• Magistrate Disposition Statistics - 1996

• Magistrate Disposition Summary 1986 - 1995

• Average Redemption Amounts From 1992-2007

• Percentage of Cases Over 12 Months by Hearing Site 1996 - 2005

• Aged Case Distribution Chart 1998 - 2007

• Pending Case Load by Hearing Site 1996 - 2007

• New Cases Opened by Month/Year 1993 - 2007


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Link to Statewide Online Services Index
Link to Statewide Web-based Surveys
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WCA Quicklinks
 •  2008 Calculation Program
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 •  Hearing Site Clickable Map
 •  State Average Weekly Wage Chart
 •  Travel Reimbursement Rates
 •  Magistrate Opinions Search
 •  Appellate Commission

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