Skip Navigation
Worker's Compensation AgencyMichigan.gov: Official Web Site for the State of Michigan
Michigan.gov Home
close print view
What's New

• Change to Rule 408.45, Effective 08/19/14

• Governor Snyder Makes Appointment to Board of Magistrates


Forms & Publications

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

• Board of Magistrates Administrative Rules PDF icon

• WC-40 (1/12) - Request for Compliance Hearing (fill-in form) PDF icon

• WC-104A (2/13) - Application for Mediation or Hearing (fill-in form)

• WC-104C (2/12) - Defendant's Application for Mediation or Hearing (fill-in form) PDF icon

• WC-105A (4/12) Work History, Work Qualifications & Training Disclosure Questionnaire (fill-in form) PDF icon

• WC-105B (4/12) Employer Disclosure Questionnaire (fill-in form) PDF icon

• WC-113 (4/12) - Redemption Order (fill-in form) PDF icon

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

• WC-113A (4/12) - Multiple Carrier Redemption Form (fill-in form) PDF icon

• WC-115 (3/14) - Voluntary Payment Form (fill-in form) PDF icon

• WC-119 (4/12) - 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-200 (4/12) - Opinion/Order (fill-in form)

• WC-251 (4/12) - Carrier's Response (fill-in form) PDF icon

• WC-262 (4/12) - Claim/Cross-Claim for Review (fill-in form) PDF icon

• WC-508 (1/12) - Subpoena for Production of Records (and/or) Witness Subpoena (fill-in form) PDF icon

• WC-544 (5/12) - Worker's Settlement Statement (fill-in form) PDF icon

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

• WC-556 (5/12) - 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 PDF icon

• Court Reporting/Transcription Services

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

• Franges Worksheet (calculating Excel worksheet) Excel icon

• Magistrates' Docket Assignment List

• Magistrates' Term Dates PDF icon

• Medicare Frequently Asked Questions PDF icon

• Michigan Court of Appeals and Supreme Court Opinions

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

• WC Appellate Commission Opinions


Current Statistics

• Magistrate Disposition Statistics - 2014 PDF icon

• Pending/Aged Cases Report by Hearing Site

• New Cases Opened by Month - 2014


Historical Statistics

• Magistrate Disposition Statistics - 2013 PDF icon

• Magistrate Disposition Statistics - 2012 PDF icon

• Magistrate Disposition Statistics - 2011 PDF icon

• Magistrate Disposition Statistics - 2010 PDF icon

• Magistrate Disposition Statistics - 2009 PDF icon

• Average Redemption Amounts From 1992-2013

• Aged Case Distribution Chart 1998 - 2013

• Pending Case Load by Hearing Site 1995 - 2013 PDF icon

• New Cases Opened by Month/Year 1993 - 2013




WCA Quicklinks
 •  2014 Calculation Program
 •  Freedom of Information Act Requests
 •  Insurance Coverage Lookup
 •  Hearing Site Clickable Map
 •  State Average Weekly Wage Chart
 •  Travel Reimbursement Rates
 •  Magistrate Opinions Search
 •  Appellate Commission
QR code

Michigan.gov Home
PoliciesMichigan NewsMichigan.gov Survey


Copyright © 2014 State of Michigan