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 |
Disclaimer: These forms may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
Loading results ...