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Illinois Form 45. Web please send this form to: Second street springfield, il 62704.
Employer’s first report of injury please type or print employer’s fein. Web please send this form to the illinois industrial commission 701 s. Web these three forms are completed directly in compfile. Illinois workers' compensation commission 4500 s. Web form revised 5/2018 il form 45 | page 1of illinois form 45: Ic01 application for adjustment of claim (rev. Web please send this form to the illinois workers' compensation commission 701 s. Second street springfield, il 62704. Web please send this form to:
Web please send this form to the illinois industrial commission 701 s. Web please send this form to the illinois industrial commission 701 s. Employer’s first report of injury please type or print employer’s fein. Web please send this form to the illinois workers' compensation commission 701 s. Ic01 application for adjustment of claim (rev. Web form revised 5/2018 il form 45 | page 1of illinois form 45: Web these three forms are completed directly in compfile. Illinois workers' compensation commission 4500 s. Web please send this form to: Second street springfield, il 62704.
