Arbitration Decision Nature And Extent Only

ARBITRATION DECISION NATURE AND EXTENT ONLY. This form is used by the Illinois Workers' Compensation Commission and filed when a worker sustains an injury while on the job, and the only dispute involves the severity or extent of the injury. The decision includes key findings such as the employee-employer relationship, the causal connection between the injury and the job, the injured worker’s wage, and the benefits provided. The form also contains orders for compensation, temporary disability benefits, medical expenses, and credits for previously paid benefits. It may include permanent disability awards, payment plans, and penalty orders. In cases of fatal injuries, the form addresses death benefits for the surviving spouse and dependents. This decision can be appealed within 30 days if necessary. www.FormsWorkflow.com