Illinois
Workers Comp
112 Ratings
Last updated: 5/3/2006
Application For IWCC Attorney Code Number
Start Your Free Trial $ 13.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
ILLINOIS WOR KER S COMPENS ATION COMMIS S ION 1 0 0 WES T RANDOLPH S TREET # 8 -2 00 CHICAGO, IL 60 6 01 -3 2 27 31 2 -8 14 - 65 00 WWW. IWCC.IL .GOV APPL ICATION FOR IWCC ATTOR NEY CODE NUMBER Att orney Firm Na m e Addres s S uit e/P.O. Box City, S ta t e, Zip Em a il Addres s Telephone Illinois AR DC R egis tra t ion Num ber R ETUR N TO: J ea nie Thom ps on Illinois Workers Com pens a tion Com m is sion Inform a t ion Depa rt m ent 1 00 Wes t R a ndolph Chica go, IL 6 06 0 1 iwccinfo@m a il.s ta t e.il.us Ass igned At t orney Code num ber Da t e As s igned 4 /20 0 5 American LegalNet, Inc. www.USCourtForms.com
Related forms
-
Request For Hearing
Illinois/Workers Comp/ -
Appearance Of Representative
Illinois/Workers Comp/ -
Application For Adjustment Of Claim-Application For Benefits
Illinois/Workers Comp/ -
Arbitration Decision
Illinois/Workers Comp/ -
Attorney Representation Agreement
Illinois/Workers Comp/ -
Dedimus Potestatem
Illinois/Workers Comp/ -
Motion To Dismiss Attorney Of Record
Illinois/Workers Comp/ -
Motion To Voluntarily Dismiss
Illinois/Workers Comp/ -
Motion To Withdraw As Attorney Of Record
Illinois/Workers Comp/ -
Notice Of Motion And Order
Illinois/Workers Comp/ -
Order To Dismiss Case For Want Prosecution
Illinois/Workers Comp/ -
Order To Dismiss Or Withdraw Petition Under Section 19b-1 Of The Act
Illinois/Workers Comp/ -
Petition For An Immediate Hearing Under Section 19b Of The Act
Illinois/Workers Comp/ -
Petition For Immediate Hearing Under Section 19b-1 Of The Act
Illinois/Workers Comp/ -
Petition For Review Of Arbitration Decision
Illinois/Workers Comp/ -
Petition For Review Of Arbitration Decision Under Section 19b-1
Illinois/Workers Comp/ -
Petition For Review Under Section 19h Or 8a Of The Act
Illinois/Workers Comp/ -
Petition To Reinstate Case
Illinois/Workers Comp/ -
Proof Of Service
Illinois/Workers Comp/ -
Rehabilitation Plan
Illinois/Workers Comp/ -
Request For Voluntary Arbitration
Illinois/Workers Comp/ -
Response To Petition For An Immediate Hearing Under Section 19b Of The Act
Illinois/Workers Comp/ -
Response To Petition For Immediate Hearing Under Section 19b-1 Of The Act
Illinois/Workers Comp/ -
Stipulation To Substitute Attorneys
Illinois/Workers Comp/ -
Subpoena
Illinois/Workers Comp/ -
Arbitration Case Information Sheet
Illinois/Workers Comp/ -
Decision
Illinois/Workers Comp/ -
Notice Of Rejection Of Settlement Contract
Illinois/Workers Comp/ -
Order
Illinois/Workers Comp/ -
Workplace Notice (Spanish)
Illinois/Workers Comp/ -
Workplace Notice
Illinois/Workers Comp/ -
Application For IWCC Attorney Code Number
Illinois/Workers Comp/ -
Form Printing Instructions
Illinois/Workers Comp/ -
Certificate Of Excess Insurance
Illinois/Workers Comp/ -
Multiple Security Endorsement
Illinois/Workers Comp/ -
Parent Guaranty Agreement In Connection With Self-Insurance Privilege
Illinois/Workers Comp/ -
Self-Insurers Agreement To Post Letter Of Credit Schedule Of Supplement
Illinois/Workers Comp/ -
Self-Insurers Agreement To Post Letter Of Credit
Illinois/Workers Comp/ -
Self-Insurers Escrow Agreement Amendment
Illinois/Workers Comp/ -
Self-Insurers Escrow Agreement Release Of Escrow Deposit
Illinois/Workers Comp/ -
Self-Insurers Escrow Agreement
Illinois/Workers Comp/ -
Self-Insurers Surety Bond General Purpose Rider
Illinois/Workers Comp/ -
Self-Insurers Surety Bond Self-Administered Claims Endorsement
Illinois/Workers Comp/ -
Self-Insurers Surety Bond
Illinois/Workers Comp/ -
Self-Insurers Surety Bond Cancellation Amendment And Acknowledgment
Illinois/Workers Comp/ -
Employers Supplementary Report Of Injury
Illinois/Workers Comp/ -
First Report of Injury Or Illness
Illinois/Workers Comp/ -
Order Removing Settled Case From Call
Illinois/Workers Comp/ -
Transcript Receipt Form
Illinois/Workers Comp/ -
Injured Workers Benefit Fund - Request For Benefits And Affidavit
Illinois/Workers Comp/ -
Notice Of Change Of Address
Illinois/Workers Comp/ -
Application For Self-Insurance
Illinois/Workers Comp/ -
Application For Self-Insurance For Subsidiary Or Affiliate
Illinois/Workers Comp/ -
Petition For Reconsideration Of Application For Self-Insurance
Illinois/Workers Comp/ -
Parent Guaranty Agreement In Connection W- Self-Insurance Privilege Amendatory Schedule Of Addl Employers
Illinois/Workers Comp/ -
Arbitration Decision 19(b)
Illinois/Workers Comp/ -
Arbitration Decision 19(b-1)
Illinois/Workers Comp/ -
Arbitration Decision Fatal
Illinois/Workers Comp/ -
Arbitration Decision Nature And Extent Only
Illinois/Workers Comp/ -
Workers Compensation - Subsequent Report
Illinois/Workers Comp/ -
Employers First Report Of Injury
Illinois/Workers Comp/ -
Request For Information On Employers Insurance Coverage
Illinois/Workers Comp/ -
Commission Review Board Complaint Form
Illinois/Workers Comp/ -
Notice Of Intent To File For Review In Circuit Court
Illinois/Workers Comp/ -
Arbitration Decision Order Paragraphs
Illinois/Workers Comp/ -
Request For Hearing With Mailing Waiver
Illinois/Workers Comp/ -
Illinois Form IL-W-4
Illinois/6 Workers Comp/ -
New Hire Reporting Form
Illinois/6 Workers Comp/ -
Public Employers Election To Self-Insure
Illinois/Workers Comp/ -
Settlement Contract Lump Sum Petition And Order
Illinois/Workers Comp/
Form Preview
Sorry, we couldn't download the pdf file.
Our Products