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WORKERS' COMPENSATION17990010/28/2011 8:31:00 PMBy law, your employer must pay that result in more than three lost work days to the Workers’ Compensation Commission By law, employers must display this notice in a prominent place STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx2098460https://www2.illinois.gov/sites/iwcc10/28/2011 8:31:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Notice of Preferred Provider Program For Workers’ Compensation Medical Care1797966/20/2013 5:10:00 PMPPP) for medical treatment for workers’ compensation cases, pursuant to the Illinois Workers’ Compensation Act (820 ILCS 305/8(a) and 8.1a STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx39090https://www2.illinois.gov/sites/iwcc6/20/2013 5:10:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Notice of Workers’ Compensation Preferred Provider Program (PPP)1797946/20/2013 5:10:00 PMmedical providers unless the Illinois Workers’ Compensation Commission determines that the medical Illinois Workers’ Compensation Commission form 6/20/13STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx582240https://www2.illinois.gov/sites/iwcc6/20/2013 5:10:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
ILLINOIS WORKERS’ COMPENSATION ACT1794296/30/2014 2:41:00 PM6 Workplace notice; accident reports; notice; filing periods duty of filing with the Illinois Workers’ Compensation Commission a written admission or denial STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx197577200https://www2.illinois.gov/sites/iwcc6/30/2014 2:41:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Illinois Workers’ Compensation Commission CERTIFICATE OF EXCESS INSURANCE1798872/22/2011 6:25:00 PMand effect until receipt by the Illinois Workers’ Compensation Commission of notice of its’ cancellation, expiration, or STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx63120https://www2.illinois.gov/sites/iwcc2/22/2011 6:25:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Illinois Workers’ Compensation Commission Notice of Motion and Order1796424/19/2011 2:53:00 PMYou must attach the motion to this notice If the motion is not attached, this form may not be The Workers’ Compensation Commission assigns code numbers to attorneys who regularly STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx41401310https://www2.illinois.gov/sites/iwcc4/19/2011 2:53:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Illinois Workers’ Compensation Commission Self-Insurer’s Escrow Agreement1800082/22/2011 6:23:00 PMthe State of Illinois known as the Workers’ Compensation Act and the Workers’ Occupational Diseases Act, both effective STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx1630https://www2.illinois.gov/sites/iwcc2/22/2011 6:23:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Illinois Workers’ Compensation Commission Self-Insurer’s Surety Bond1801522/22/2011 6:21:00 PMthe other party and the Illinois Workers’ Compensation Commission at least sixty (60) days prior written notice of its desire to do so. Such cancellation STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx2100https://www2.illinois.gov/sites/iwcc2/22/2011 6:21:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Illinois Workers’ Compensation Commission Notice of INTENT TO FILE for review IN CIRCUIT COURT1804177/1/2013 9:08:00 PMPlease submit two copies of this form I have filed a Notice of Intent to File for Review in Circuit Court with the Illinois Workers’ Compensation Commission on STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx158220https://www2.illinois.gov/sites/iwcc7/1/2013 9:08:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js
Illinois Workers’ Compensation Commission Notice of Rejection of Settlement contract1802763/3/2006 9:30:00 PMThis settlement contract was presented to me on . I am rejecting it for The parties have have not been advised that, after assignment by the Review Unit STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/sites/iwcc/Documents/Forms/AllItems.aspx2300https://www2.illinois.gov/sites/iwcc3/3/2006 9:30:00 PMdocFalsedoc11~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Word.js

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