How Do I File a Workers' Compensation Claim?
- Complete an Accident and Illness Report (State of MI WC Claim Form)
- You may fax the completed form to the Disability Management Office at 517-241-9926.
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 MCSC-Disability Management Office (DMO) at 877-766-6447.
Accident and Illness Report (State of MI WC Claim Form)