Get Illinois Court Of Claims Notice Of Intent Form

Filing a notice of intent to claim for personal injury with the Illinois Court of Claims is an essential step in seeking compensation. This guide will provide clear instructions on how to complete the form online effectively.

Follow the steps to fill out the form correctly online.

1. Click ‘Get Form’ button to obtain the necessary form and open it in your editing tool.
2. Enter the name of the person to whom injuries occurred in the designated field at the top of the form.
3. Provide the name of the person injured in the following section.
4. Fill in the residence address of the person injured. Make sure to include the complete address details.
5. Indicate the place where the accident occurred. Be specific about the location.
6. Write a clear statement describing the accident in the statement of accident section.
7. Record the date and hour of the accident in the respective field.
8. Input the name and address of the attending physician who treated the injured person.
9. Provide the name and address of the treating hospital where medical treatment was given.
10. Sign the form in the designated area to validate your claim.
11. Complete the claimant's street address, city, state, and ZIP code in the appropriate sections.
12. Include a telephone number for further communication as required.
13. Once all fields are filled out accurately, save your changes. You can also download, print, or share the completed form for your records.

Start filling out your documents online today for a streamlined filing experience.