& Environmental
College of Human Medicine

Occupational Disease Report Forms

Occupational Disease Report: Go

Hearing Loss Report and Audiometric Results: Go


Additional Ways to Report:

  • Phone: 1-800-446-7805
  • Fax: 1-517-432-3606
  • E-Mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Mail MIOSHA: 
Techical Services Division
PO Box 30649
Lansing, MI 48909-8149