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DISEASE REPORT FORM
Reporting Occupational Disease

Michigan Law Requires the reporting of Known or Suspected Occupational Diseases.

Reporting can be done by:

  • Online:



  • E-Mail: ODREPORT@ht.msu.edu

  • Fax: (517) 432-3606

  • Phone: (800) 446-7805

  • Mail:


    • Michigan Occupational Safety & Health Administration
    Management and Technical Services Division
    P.O. Box 30649
    Lansing, MI 48909-8149

    Reporting forms can be downloaded in PDF format here.

    You may also obtain reporting forms by calling (517) 322-1817 or (800) 446-7805.





    MSU Health Information Technology