Wc 337 Form

Workers compensation exemption form michigan 2011 Fill out & sign

Wc 337 Form. The form may be used by employers who only employ persons who can be excluded under the workers’ disability compensation act (act). Web what is an exclusion form for workers compensation in michigan?

Workers compensation exemption form michigan 2011 Fill out & sign
Workers compensation exemption form michigan 2011 Fill out & sign

Web employers that are permitted to exclude themselves from coverage must file form bwc 337 with the bureau of workers' disability compensation. I hire employees or casual laborers to complete work for the named policyholder: Effortlessly add and underline text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or remove pages from your document. §4117 (relating to insurance fraud). Get your online template and fill it in using progressive features. The type of work i perform can be described as: It is not available online. To submit a workers’ compensation claim, you can apply online or print. It typically requires the following information to be reported: To find out whether you qualify for this exclusion and obtain a copy of the form, contact the compliance & employer records division at (517).

Here is a link to those documents : The form may be used by employers who only employ persons who can be excluded under the workers’ disability compensation act (act). Get your online template and fill it in using progressive features. However all parties are to begin using the form august 1, 2013. To submit a workers’ compensation claim, you can apply online or print. This form is used to exclude certain individuals from insurance coverage as permitted by statute and is not available online. Use get form or simply click on the template preview to open it in the editor. Effortlessly add and underline text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or remove pages from your document. The full text of act 337 can be found here: Present weekly earnings subtotal 2/3 = new partial compensation rate (subject to the maximum benefit) Web welcome to the department's workers' compensation libc forms.