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Form WC-728 Amputation Chart - Michigan
What Is Form WC-728?
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 WC-728 Amputation Chart?
A: WC-728 Amputation Chart is a document used in Michigan to record information about amputations related to workers' compensation claims.
Q: Why is the WC-728 Amputation Chart used?
A: The WC-728 Amputation Chart is used to provide detailed information about the amputation to help determine the appropriate compensation for the injured worker.
Q: Who uses the WC-728 Amputation Chart?
A: The WC-728 Amputation Chart is typically used by employers, workers' compensation insurance carriers, and medical professionals.
Q: What information is recorded on the WC-728 Amputation Chart?
A: The WC-728 Amputation Chart includes details about the amputated body part, the cause of the amputation, and any other relevant information.
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;
- 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-728 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.
