This version of the form is not currently in use and is provided for reference only. Download this version of Form WC-272 for the current year.
This is a legal form that was released by the Michigan Department of Labor and Economic Opportunity - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form WC-272?
A: Form WC-272 is the Application for First Responder Presumed Coverage Fund in the state of Michigan.
Q: Who can use Form WC-272?
A: First responders in Michigan can use Form WC-272 to apply for coverage under the Presumed Coverage Fund.
Q: What is the Presumed Coverage Fund?
A: The Presumed Coverage Fund provides compensation and benefits to eligible first responders who suffer from certain occupational diseases.
Q: What is the purpose of Form WC-272?
A: The purpose of Form WC-272 is to collect information about the first responder's exposure to certain occupational diseases and to assess eligibility for benefits from the Presumed Coverage Fund.
Q: Is there a deadline for submitting Form WC-272?
A: Yes, there is a deadline for submitting Form WC-272. The exact deadline may vary, so it is important to check the instructions on the form or contact the Michigan Workers' Compensation Agency for the most up-to-date information.
Q: What supporting documents are required with Form WC-272?
A: Supporting documents may include medical records, exposure history, and any other relevant documentation that can help establish a connection between the first responder's illness and their occupation.
Q: Who should I contact if I have questions about Form WC-272?
A: If you have questions about Form WC-272 or the Presumed Coverage Fund, you can contact the Michigan Workers' Compensation Agency for assistance.
Form Details:
Download a fillable version of Form WC-272 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.