Illinois Forms
10 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
APPLICATION FOR ADJUSTMENT OF CLAIM (APPLICATION FOR BENEFITS) |
IC1 | 4/22 | ||
ARBITRATION DECISION |
ICArbDec | 4/22 | ||
SELF-INSURERS SECURITY FUND ASSESSMENTS |
No Form Number | January 15, 2016 | ||
ARBITRATION DECISION FATAL |
ICArbDecFatal | 4/22 | ||
WORKERS COMPENSATION - SUBSEQUENT REPORT |
IA-2 | (rev. 11/11 IWCC) | ||
Workplace Notice |
ICPN | 1/2025 | ||
COMMISSION REVIEW BOARD COMPLAINT FORM |
ICCRB | 4/22 | ||
ARBITRATION DECISION ORDER PARAGRAPHS |
No Form Number | 9/19/14 | ||
Notice of Workers’ Compensation Preferred Provider Program (PPP) |
No Form Number | 6/20/13 | ||
RATE ADJUSTMENT FUND AND SECOND INJURY FUND ASSESSMENT TRANSMITTAL FORM FOR 01/01/2017 – 06/30/2017 (2017-1st Half) |
No Form Number | FOR 01/01/2017 – 06/30/2017 (201 | ||
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