Form WC-107 Notice of Dispute - Michigan

What Is Form WC-107?

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-107?
A: Form WC-107 is a Notice of Dispute commonly used in Michigan workers' compensation cases.

Q: When is Form WC-107 used?
A: Form WC-107 is used when an employee wants to dispute a decision made by their employer or the workers' compensation insurance carrier.

Q: What information is required on Form WC-107?
A: Form WC-107 requires information about the employee, employer, and the nature of the dispute.

Q: What should I do after completing Form WC-107?
A: After completing Form WC-107, the employee should submit the form to the Michigan Workers' Compensation Agency and serve a copy on their employer and the insurance carrier.

Q: What happens after submitting Form WC-107?
A: After submitting Form WC-107, the employee's dispute will be reviewed by the Michigan Workers' Compensation Agency and a decision will be made.

Q: Can I appeal a decision made after submitting Form WC-107?
A: Yes, if the employee is not satisfied with the decision made by the Michigan Workers' Compensation Agency, they can appeal the decision to the Michigan Compensation Appellate Commission.