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

• New Forms for Data Exchange Gateway (DEG) Participation

• 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 & 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

• 2013 Pay Lag Report

• 2013 Notice of Dispute Report

• 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 Pay Lag Report

• 2009 Notice of Dispute 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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