Employee’s Report of Claim (Form WC-177)

How to protect your legal rights if your employer refuses to make a workers’ compensation claim in Michigan.

claimformWe have a list of problems that our attorneys frequently have to address. Top of that list is dealing with employers who refuse to make a workers’ compensation claim.

Michigan workers’ compensation is designed to protect both employers and employees. It pays medical expenses and wage loss benefits for on-the-job injuries.

Some employers refuse to submit claims to their insurance company because they fear increased premiums. Others have misrepresented the nature of the job or number of employees and worry this fraud will be exposed.

Watch out for employers who insist you lie about how the injury happened. Always give the medical facility an accurate medical history. Never believe promises from an employer about paying medical bills or lost wages with cash. Our experience shows these payments do not last and create more problems down the road.

If an employer refuses to cooperate, you can file the Employee’s Report of Claim (Form WC 177). You must provide personal information including Social Security number and date of birth. A description of the injury and how it happened is also needed.

The Michigan Workers Compensation Agency will notify the employer and its insurance company that a claim has been filed. It will be up to the insurance company whether a claim will be paid or disputed.

We recommend speaking with an experienced attorney before submitting any forms on your own. Even innocent statements can be used against you in court. Advice is a free and it can save you big headaches down the road.

Michigan Workers Comp Lawyers never charges a fee to evaluate a potential case. Our law firm has represented injured and disabled workers exclusively for more than 35 years. Call (855) 221-2667 for a free consultation today.

Related information:

How long do you have to file a workers comp claim in Michigan?

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