Forms


Legislative Reporting Form – Use this form to provide feedback to CPAN, and  its Legislative Consultant, following your meeting with members of the Michigan legislature or other policy makers and identify if there is a need to provide legislator/policymaker requested additional information.  Your feedback from these meetings is extremely vital to the legislative process.  Please fill out the form following your meeting. You may print off the form and mail, fax it to CPAN or complete this form online and email to CPAN.


 

Admire Reporting Form -  This form was designed to help identify those auto accident patients whose auto no-fault PIP benefits claims have been negatively impacted by the recent court decision in Admire vs. Auto Owners. Please take the time to provide as much detail as possible. You may complete this form online and email it to CPAN or print off, complete this form, and mail to the CPAN Office.
216 North Chestnut Street
Lansing, MI 48933
Phone: (517) 882-1096
Fax: (517) 882-0879

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