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Go to InstructionsPrintOCR 100ResetEMPLOYER\'S BASIC REPORT OF INJURY Michigan Department of Licensing and Regulatory Affairs Workers Compensation Agency PO Box 30016, Lansing, MI 48909 An employer
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To fill out lara-workers compensation form, follow these steps:
02
Gather all necessary information such as employee details, injury details, and witnesses if any.
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Begin by providing your personal details as the employer or representative.
04
Fill out the employee details section, including their name, employee ID, and job position.
05
Specify the date and time of the incident along with a brief description of how the injury occurred.
06
If there were any witnesses, mention their names and contact information.
07
Provide details regarding the injury, including the body part affected and the nature of the injury.
08
Complete the medical treatment section, documenting the healthcare provider's name, facility, and treatment received.
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If the employee missed work due to the injury, indicate the dates and duration of absence.
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Disclose any previously reported injuries or conditions that could be related.
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Review the completed form for accuracy and signature before submission.

Who needs lara - workers compensation?

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Lara - Workers Compensation is needed by employers or their representatives who need to report a work-related injury or illness.
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It is also required by employees who have suffered a work-related injury and need to seek compensation and medical treatment.
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Workers, witnesses, and healthcare providers may also need to provide information and details within the form.
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LARA - Workers compensation refers to the Michigan Department of Labor and Economic Opportunity - Workers' Compensation Agency, which oversees the workers' compensation system in the state.
All Michigan employers are required to have workers' compensation coverage and file with LARA - Workers Compensation.
Employers can fill out and file workers' compensation forms online through the Michigan Department of Labor and Economic Opportunity website.
The purpose of LARA - Workers Compensation is to ensure that employees who are injured on the job receive benefits for medical expenses and lost wages.
Employers must report information such as the employee's name, date of injury, description of the injury, and medical treatment received.
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