• WC-402 (8/11) Self-Insurer Application Packet (fill-in form)
• WC-402A (8/11) Self-Insurer Request to Add or Delete Subsidiary/Affiliate (fill-in form)
• WC-402G (9/11) Group Self-Insurer Application Packet
• WC-402GR (9/11) Group Self-Insurer Application (fill-in form)
• WC-404 (9/11) Service Company Application (fill-in form)
• WC-650 (9/11) Self-Insured Group Notice of Acceptance of Membership (fill-in form)
• WC-651 (9/11) - Notice of Termination of Membership (fill-in form)
• Letter of Credit/Memorandum of Understanding (8/11) (fill-in form)
• Michigan Continuous Surety Bond (8/11) (fill-in form)
• Michigan Certificate of Specific/Aggregate Excess Liability Insurance (8/11) (fill-in form)
• Self-Insurer's Claims Transfer Agreement (fill-in form)
• Individual Self-Insured Employer List
• Active Self-Insured Group List
• Service Company List
• Self-Insured Division Information
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