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Michigan No Fault Benefits Forms

Free Michigan No Fault Benefits Forms

Your insurance company will require certain documentation from you before they will pay your claims for Michigan no fault benefits. Download free forms below then call or email us with any questions you have.

Application for Michigan No Fault Benefits

If you have been injured in a motor vehicle accident in Michigan, you may be eligible for Michigan no-fault benefits. These benefits can pay for things like medical expenses, lost wages, or even prescriptions that you had to take from pain due to the accident. In order to retrieve those benefits, you must fill out the Application for Benefits no later than one year from the date of the accident. This form asks questions about the accident, whether or not you or the other driver had auto insurance, and information about any injuries incurred.

Michigan Attendant Care Benefits Form

When you are severely injured from a motor vehicle accident, it can often be difficult to do many everyday tasks such as eating, getting dressed, or even grooming yourself. Those who are severely injured from a car accident can qualify for in-home care thanks to Michigan’s no-fault benefits. The Attendant Care Form is a convenient way to log all of the care that your attendant provides so that you can receive payment from the insurer who is responsible for payment.

Michigan Replacement/Household Services No Fault Benefits Form

If you incur severe injuries from a car accident, you may no longer be able to do normal household activities such as cleaning, yard maintenance, or cooking. Thanks to the Michigan no-fault law, you could be qualified for payment for household services such as cleaning, snow shoveling, child care, grocery shopping, and other household tasks that you are unable to perform. The Household Services Form should be filled out accurately by your attendant so that you can receive proper payment from the insurer who is responsible for payment.

Michigan No Fault Benefits For Mileage Form

After you’ve been injured in a car accident, it’s likely that you will have several medical appointments to properly care for the injuries that were sustained. Under Michigan’s no-fault law, you are eligible to receive payment from an auto insurance company for your miles logged to and from your doctor’s appointments. In order to receive payment for these miles, you need to accurately fill out the Mileage Form and submit it to the insurance company who is responsible for repayment.

Wage and Salary Verification Form

If you are unable to work due to your injuries from a Michigan car accident, you are entitled to reclaim lost wages and benefits under the Michigan no-fault law. To prove the amount of your lost wages to the insurance company responsible for payment, submit the Wage and Salary Verification Form to your employer.

We Can Help With No Fault Benefits

If you need assistance filling out any of these forms or have any questions, please don’t hesitate to reach out to our firm at 855-MIKE-WINS or use our contact form.