How Do I File a Workers' Compensation Claim?

1. Complete an State of Michigan Workers' Compensation Claim Form.
2. You may fax the completed form to the Disability Management Unit at 517-241-6898.

If 5 or more days of work is missed due to a work related injury or illness, FMLA will also apply to the absence. Use the How Do I Request FMLA Leave? section to obtain required FMLA forms.

Have more questions?
Contact the Disability Management Unit (DMU) at 877-443-6362.