Illinois Forms
81 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY - EDI |
IC45 | 8/12 | ||
ILLINOIS FORM 85: EMPLOYER'S SUPPLEMENTARY REPORT OF INJURY |
IC85 | 8/12 | ||
WORKERS COMPENSATION – FIRST REPORT OF INJURY OR ILLNESS |
IA-1 | (rev 11/11 IWCC) | ||
ARBITRATION DECISION 19(b-1) |
IcArbDec19(b-1) | 4/22 | ||
ARBITRATION DECISION 19(b) |
ICArbDec19(b) | 4/22 | ||
APPEARANCE OF REPRESENTATIVE |
IC6 | 4/22 | ||
APPLICATION FOR ADJUSTMENT OF CLAIM (APPLICATION FOR BENEFITS) |
IC1 | 4/22 | ||
APPLICATION FOR SELF-INSURANCE |
IC50 | 1/12 | ||
APPLICATION FOR SELF-INSURANCE FOR SUBSIDIARY OR AFFILIATE |
IC50s | 5/09 | ||
ARBITRATION DECISION |
ICArbDec | 4/22 | ||
ARBITRATION CASE INFORMATION SHEET |
IC41 | 4/22 | ||
SELF-INSURERS SECURITY FUND ASSESSMENTS |
No Form Number | January 15, 2016 | ||
ATTORNEY REPRESENTATION AGREEMENT |
IC10 | 4/22 | ||
CERTIFICATE OF EXCESS INSURANCE |
IC80 | 5/10 | ||
DECISION |
IC34d | 4/22 | ||
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