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

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Get Help From our Michigan Workers’ Comp Lawyers Today
You’re not alone. Our Michigan workers’ comp lawyers have been called the best in the state, and we pride ourselves on providing you with care, trust, and responsiveness.

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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Author Bio Jeffrey Kaufman

Author
Jeffrey E. Kaufman
Michigan Workers Comp Attorney

Jeffrey E. Kaufman has extensive experience in workers compensation cases and has recovered millions of dollars in benefits for his clients. He believes all injured workers deserve to be on equal footing with insurance companies and employers, and fights tenaciously so their rights are secured and protected.


“Jeff also helped me with getting my Blue Cross bills paid. I would absolutely recommend him and the whole firm. Jeff and the firm did everything they were supposed to do for me and my case.”
Ricardo Perfetto

Hundreds of 5-Star Reviews

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Get Help From our Michigan Workers’ Comp Lawyers Today

You’re not alone. Our Michigan workers’ comp lawyers have been called the best in the state, and our clients love how they’re treated with care, respect, and responsiveness. We will give you the time you need, we will explain your legal rights, and we will always treat you with respect.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Injured? It’s Time to Get Some Answers

Don’t let the insurance adjuster push you around. Request your free consultation today.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.