disease report form
Reporting Occupational Disease
Michigan Law Requires the reporting of Known or Suspected Occupational Diseases.
Reporting can be done by:
- E-Mail: ODREPORT@ht.msu.edu
- Fax: (517) 432-3606
- Phone: (800) 446-7805
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.