Legal Forms >> Michigan >> Workers' Compensation
Form #:MI-WC-0110 This form is to be used three months after an employee has been injured while on the job, and every four months thereafter. A physician should indicate whether the employee has returned to work, is expected to return to work, or likely will not return to work. Also included will be a vocational rehabilitation referral, if applicable. A current medical report should be attached to this form.
Name:Report on Rehabilitation Form Number: MI-WC-0110 State:Michigan Statute: Form Category:Workers' Compensation
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