Get Illinois Workers'' Compensation Commission Appearance Of Representative - Iwcc Illinois

This guide provides step-by-step instructions for completing the ILLINOIS WORKERS' COMPENSATION COMMISSION APPEARANCE OF REPRESENTATIVE form online. By following these clear directions, users can ensure their filing is accurate and efficient.

Follow the steps to successfully complete your form

1. Click ‘Get Form’ button to access the form and open it for editing.
2. Begin filling out the case number at the top of the form, ensuring the information is accurate. This number is essential for processing your appearance.
3. Identify the party you represent in the case by marking the appropriate options for counsel or co-counsel and whether you are representing the petitioner or respondent.
4. Provide your signature as the attorney, along with your firm's name directly beneath it.
5. Print your name along with your Illinois attorney code number in the designated field.
6. Enter your street address, city, state, and zip code in the given sections.
7. Include your telephone number and email address to facilitate communication.
8. If you are entering a co-counsel appearance, ensure that you attach a copy of the original Attorney Representation Agreement with the signature of the co-counsel.
9. Indicate the address where the Commission should send notices by checking the appropriate box, either selecting your name or providing a different address.
10. Complete the Proof of Service section by detailing how you delivered a copy of the form and sign it; this section must be notarized if the signer is not an attorney.
11. Finally, review the entire form for accuracy before you save your changes, download the document, print it for your records, or share it as necessary.

Complete your filing online to ensure timely processing of your workers' compensation appearance.