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Print (Mailed) (Personal Service) REDEMPTION ORDER Michigan Department of Consumer & Industry Services Bureau of Workers' & Unemployment Compensation/Board of Magistrates PO Box 30016, Lansing MI
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How to fill out michigan bwc-113 redemption order

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How to fill out Michigan BWC-113 Redemption Order:

01
Start by downloading the Michigan BWC-113 Redemption Order form from the official Michigan Bureau of Workers' Compensation website.
02
Fill out the "Employer" section of the form, providing the necessary information such as the name of the employer, address, telephone number, and employer's federal employer identification number (FEIN).
03
In the "Employee" section, enter the employee's name, address, social security number, and date of birth.
04
Indicate the date of injury in the "Injury" section of the form.
05
Specify the type of injury sustained by the employee, whether it's a personal injury or an occupational disease.
06
Provide details regarding the compensation and benefits received by the employee for the injury, including the dates of payments and the amounts received.
07
If there are any disputed aspects of the compensation or benefits, explain the nature of the dispute in the designated section of the form.
08
Next, sign and date the Michigan BWC-113 Redemption Order form.
09
If you're an attorney representing the employer or employee, make sure to include your contact information in the designated area.
10
Finally, submit the completed form to the appropriate office or entity specified in the instructions.

Who needs Michigan BWC-113 Redemption Order?

01
Employers who have a worker's compensation claim filed against them in the state of Michigan may need to fill out the Michigan BWC-113 Redemption Order.
02
Employees who have suffered a work-related injury or occupational disease and want to request a redemption order to settle their compensation and benefits may also need to fill out this form.
03
Attorneys or legal representatives involved in worker's compensation cases in Michigan may use the Michigan BWC-113 Redemption Order to advocate for their clients' interests and seek resolution.
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The Michigan BWC-113 Redemption Order is a form used by employers to request a redemption of workers' compensation benefits.
Employers who wish to redeem workers' compensation benefits are required to file the Michigan BWC-113 Redemption Order.
The Michigan BWC-113 Redemption Order must be completed with accurate information regarding the employee, their workers' compensation benefits, and the reason for redemption.
The purpose of the Michigan BWC-113 Redemption Order is to request the redemption of workers' compensation benefits for an injured employee.
The Michigan BWC-113 Redemption Order must include information on the employee, their injury, the benefits being redeemed, and the reason for redemption.
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