* Request for deferral / Ready Hold – Page 1 (to be completed): * Request for deferral / Ready Hold – additional page** Open the form and enter the name and contact details of your company. Save the form to your computer by clicking Save As. Use the saved form as a template for future deferral requests. This form can now be sent by e-mail to the various district offices. Follow the instructions on the form. It is a legal form published by the Michigan Department of Licensing and Regulatory Affairs – a government agency operating in Michigan. To date, no separate form submission guidelines are provided by the issuing service. The forms are grouped by relevant topics and then alphabetically. Use the arrows to reverse the alphabetical order or search by form number. The ten most downloaded forms are also displayed in the « Frequently Used Forms » section. Most of the forms available on our website are available in Adobe Acrobat (PDF) format.

Some are also available in Microsoft Word format. To view and print PDF forms, you need Adobe Acrobat Reader, which you can download for free from Adobe. Click here to download the free software. NOTE ON INTERACTIVE/FILLABLE FORMS: Many of the forms listed below can be completed electronically and stored on your local drive. They are marked with an asterisk and this image: Please note that interactive Word forms are not properly converted to other word processing software. Users who do not have Microsoft Word must use the PDF versions of these forms. For more instructions and helpful tips on using interactive forms, click here. Form Guide to Fill Out = Adobe Acrobat Form to Fill Out – in Spanish = Adobe Acrobat for = Word Form * Note: If you want to save this form on your computer and send it to the DWC Medical Unit by email, you MUST use the Word version.

The PDF version cannot be saved to your computer once it is complete. Permanent and Hospital Report of the Primary Care Attending Physician * 1997 Permanent Disability Assessment Schedule ELECTRONIC CALENDARS, ONLINE COURTS AND ELECTRONIC SUBMISSION FORMS * For injured workers who require an independent medical examination Electronic calendar, ONLINE COURTS and e-filing Miscellaneous comments? Ask? Suggestions? Email dwc@dir.ca.gov download a completeable version of Form WC-100 by clicking the link below, or browse other documents and templates provided by the Michigan Department of Licensing and Regulatory Affairs. .