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Print Reset Form Instructions for Completion GROUP SELF-INSURERS' NOTICE OF ACCEPTANCE OF MEMBERSHIP Michigan Department of Consumer & Industry Services Bureau of Workers' & Unemployment Compensation

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What is form bwc-650 - michigan?

Form BWC-650 is a form used in Michigan for reporting work-related injuries and illnesses. It is required by the Michigan Occupational Safety and Health Administration (MIOSHA).

Who is required to file form bwc-650 - michigan?

Employers in Michigan are required to file form BWC-650 if they have any work-related injuries or illnesses that meet the reporting criteria set by MIOSHA.

How to fill out form bwc-650 - michigan?

To fill out form BWC-650 in Michigan, you need to provide information about the injured or ill employee, the nature of the injury or illness, the date and location of the incident, and any medical treatment received.

What is the purpose of form bwc-650 - michigan?

The purpose of form BWC-650 in Michigan is to ensure that workplace injuries and illnesses are properly reported and recorded, and to help MIOSHA identify trends and develop strategies for improving workplace safety.

What information must be reported on form bwc-650 - michigan?

On form BWC-650 in Michigan, you must report the injured or ill employee's name, address, and social security number, the date of birth, gender, and occupation, the nature of the injury or illness, the date, time, and location of the incident, and any medical treatment received.

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