Updated WC-104C Form (Rev. 6/18)

Michigan Workers Compensation Agency releases updated Application for Mediation or Hearing – Form C.

The WCA has published an updated Application for Mediation or Hearing — Form C. It now includes a “check box” for adding a non-employer entity to a case. This change was made based upon user feedback and to streamline operations/procedures. The updated form can be used immediately.

Adding a non-employer entity is appropriate when another party could have some potential liability. Situations where a non-employer entity could have liability include dual employment, statutory employment, labor brokers, and loaned employees.

Dual employment is when an individual has two jobs. Statutory employment occurs when a general contractor is held liable for a subcontractor who did not maintain required workers’ compensation insurance. Labor brokers provide workers to other entities on a leased basis. Loaned employees might be temporarily assigned to a different entity for a project.

Situations involving multiple entities can be complicated. It is best to speak with an experienced workers’ compensation lawyer to ensure the appropriate parties are in the case.

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 (844) 201-9497 for a free consultation today.

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