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Form WC-119 Affidavit in Support of Redemption (Settlement) Agreement - Michigan
What Is Form WC-119?
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.
FAQ
Q: What is form WC-119?
A: Form WC-119 is an Affidavit in Support of Redemption (Settlement) Agreement.
Q: What is the purpose of form WC-119?
A: The purpose of form WC-119 is to provide support for a redemption (settlement) agreement in a Michigan Workers' Compensation case.
Q: Who uses form WC-119?
A: Form WC-119 is used by parties involved in a Michigan Workers' Compensation case, including the injured worker, employer, and insurance carrier.
Q: What information is required in form WC-119?
A: Form WC-119 requires information such as the case number, the name of the injured worker, and details about the redemption (settlement) agreement.
Q: Do I need to file form WC-119 with the Michigan Workers' Compensation Agency?
A: Yes, form WC-119 needs to be filed with the Michigan Workers' Compensation Agency to support the redemption (settlement) agreement.
Q: Are there any fees associated with filing form WC-119?
A: There may be fees associated with filing form WC-119. It is advisable to check with the Michigan Workers' Compensation Agency for the current fee schedule.
Form Details:
- Released on August 1, 2019;
- The latest edition provided by the Michigan Department of Labor and Economic Opportunity;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form WC-119 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.
Download Form WC-119 Affidavit in Support of Redemption (Settlement) Agreement - Michigan
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