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  • Next, we need to know:

    Do you want to request time off for your own personal illness, to care for a family member, or to bond with a new child?  If you do, select the leave of absence button. 
      Have you experienced a work-related injury or illness?  If you have, select the workers' compensation button.

    Leave of Absence Button   Workers' Compensation Button

  • Phone: 877-766-6447, Option 2 Fax: 517-241-9926 

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    Frequently Asked Questions

         Workers' Compensation Online Claim Form icon