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

• Petitions for Hearing Now Accepted on Plain Paper

• Alternate Dispute Resolution Policy

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 (2/12) - 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 (4/12) - 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 (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 PDF icon

• 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 - 2012 PDF icon

• Pending/Aged Cases Report by Hearing Site

• New Cases Opened by Month - 2012

Historical Statistics

• Magistrate Disposition Statistics - 2011 PDF icon

• Magistrate Disposition Statistics - 2010 PDF icon

• Magistrate Disposition Statistics - 2009 PDF icon

• Magistrate Disposition Statistics - 2008

• Magistrate Disposition Statistics - 2007

• Average Redemption Amounts From 1992-2011

• Aged Case Distribution Chart 1998 - 2011

• Pending Case Load by Hearing Site 1996 - 2011 PDF icon

• New Cases Opened by Month/Year 1993 - 2011


Michigan Business One Stop
Link to Department and Agencies Web Site Index
Link to Statewide Online Services Index
Link to Statewide Web-based Surveys
Link to RSS feeds available on this site
WCA Quicklinks
 •  2012 Calculation Program
 •  Insurance Coverage Lookup
 •  Hearing Site Clickable Map
 •  State Average Weekly Wage Chart
 •  Travel Reimbursement Rates
 •  Magistrate Opinions Search
 •  Appellate Commission
Frequently Asked Questions
Worker's Compensation Agency scorecard link PDF icon


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