Bureau of Services for Blind Persons
Michigan Career & Technical Institute
Michigan High-Speed Internet Office
Michigan Rehabilitation Services
Workers' Disability Compensation Agency
Black Leadership Advisory Council
Michigan Community Service Commission
Executive Order 2020-107 established Michigan Workforce Development Board
MiSTEM convenes a statewide network of leaders in education, business and local communities to empower the next generation of innovators.
Unemployment Insurance Appeals Commission
formerly MI Compensation Appellate Commission
Search is currently unavailable. Please try again later.
The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer.
In using this form, ensure all asterisked fields are completed. Clicking the "Submit" button at the end of the form will submit your report to MIOSHA. You will receive an email response from MIOSHA containing your report number.
As an alternative, employers can provide the information through the MIOSHA Severe Injury Report Line at 844-464-6742, Monday through Friday, 8:00 a.m. to 5:00 p.m. or leave a message after hours.
If you have any questions, please contact MIOSHA Information Services Section at 517-284-7788.