Michigan State University Occupational & Environmental Medicine

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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:

    Submit an on-line occupational disease report on a patient

     
  • E-Mail: ODREPORT@ht.msu.edu

     
  • Fax: (517) 432-3606

     
  • Phone: (800) 446-7805

     
  • Mail:

    Michigan Department of Licensing and Regulatory Affairs (LARA)                                                      Michigan Occupational Safety & Health Administration (MIOSHA)                                    
    Management and Technical Services Division (TSD)
    530 W. Allegan Street                                                                                                                                           P.O. Box 30649
    Lansing, MI  48909-8149
    Overnight Mail Address: 525 W. Allegan Street, Lansing, MI  48933
                                                                                                                                                                                    Reporting forms can be downloaded in PDF format here.

    You may also obtain reporting forms by calling: (800) 446-7805.

     

 

 

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© 2011 Michigan State University Board of Trustees. MSU is an equal-opportunity institution. East Lansing, MI 48824 | Admin