Below is a list forms and applications for No-Fault insurance benefits from various Michigan insurance companies. These include forms for attendant care, replacement services, wage and salary verification as well as attending physician reports (APRs).
Our No-Fault insurance attorneys have provided these forms to help you apply for your No-Fault benefits and to make sure your medical expenses, attendant care and replacement services are reimbursed after a serious auto accident.
No-Fault forms: General
Attending physicians report (APR), work disability certificate, wage verification, replacement services disability certificate, replacement services calendar, attendant care calendar
No-Fault forms: Assigned Claims Facility
Applications, affidavit of insurance
For help from one of our insurance attorneys today, call Michigan Auto Law at (800) 777-0028 or fill out our free consultation form.
We are happy to help you fill out these forms, to make sure you receive all of the benefits and assistance you're entitled to while you recover.