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

    • Yearly Open Claim Validation Report

    • 2014 Calculation Program Now Available

    • Decrease in Mileage Rate Effective January 1, 2014

    • 2014 Maximum Rate

    • 2014 Weekly Benefit Table Now Available

    • Forms 400, 401, 100, 107, and 701 Can Now Be Uploaded Using Michigan Data Exchange Gateway


    Forms & Publications

    • WC-100 (2/13) - Employer's Basic Report of Injury (fill-in form) PDF icon

    • WC-106 (10/11) - Supplemental Report of Fatal Injury (fill-in form) PDF icon

    • WC-107 (2/13) - Notice of Dispute (fill-in form) PDF icon

    • WC-108 (11/11) - Application for Advance Payment (fill-in form) PDF icon

    • WC-114 (11/11) - Application for Reimbursement from the Compensation Supplement Fund (fill-in form) PDF icon

    • WC-117 (4/13) - Employee's Report of Claim (fill-in form) PDF icon

    • WC-701 (2/13) - Notice of Compensation Payments (fill-in form)

    • WC-728 (12/11) - Amputation Chart (fill-in form) PDF icon


    Claims Reports

    • 2012 Pay Lag Report

    • 2012 Notice of Dispute Report

    • 2011 Pay Lag Report

    • 2011 Notice of Dispute Report

    • 2010 Pay Lag Report

    • 2010 Notice of Dispute Report

    • 2009 Notice of Dispute Report

    • 2009 Pay Lag Report


    Other Information

    • 2014 Weekly Benefit Tables PDF icon

    • 2013 Weekly Benefit Tables PDF icon

    • 2012 Weekly Benefit Tables PDF icon

    • 2011 Weekly Benefit Tables PDF icon

    • 2010 Weekly Benefit Tables PDF icon

    • 2009 Weekly Benefit Tables PDF icon

    • 2008 Weekly Benefit Tables PDF icon

    • 2007 Weekly Benefit Tables PDF icon

    • 2006 Weekly Benefit Tables PDF icon

    • 2005 Weekly Benefit Tables PDF icon

    • Help with Navigating our Toll Free Phone Number PDF icon

    • Need to Know How to Complete a Form 701? PDF icon

    • WC Insurance Companies / NAIC Numbers List PDF icon




    WCA Quicklinks
     •  2014 Calculation Program
     •  Insurance Coverage Lookup
     •  Hearing Site Clickable Map
     •  State Average Weekly Wage Chart
     •  Travel Reimbursement Rates
     •  Magistrate Opinions Search
     •  Appellate Commission
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