RATE ADJUSTMENT FUND AND SECOND INJURY FUND ASSESSMENT TRANSMITTAL FORM FOR 01/01/2022 – 06/30/2022 Forms
| Form Name | RATE ADJUSTMENT FUND AND SECOND INJURY FUND ASSESSMENT TRANSMITTAL FORM FOR 01/01/2022 – 06/30/2022 |
| Form # | No Form Number |
| Form Revision | 07/01/2022-12/31/2022 |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Illinois |
| Language | n/a |
| State Description | n/a |
| Claimwire Description | n/a |