Get Il Wc8188v 2012-2025

This guide provides a comprehensive overview of how to accurately complete the IL WC8188v form online. By following these instructions, users can efficiently report workplace injuries and ensure compliance with Illinois workers' compensation regulations.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to access the IL WC8188v form and open it in your preferred editor.
2. Enter the employer's federal employer identification number (FEIN) and the date of the report. Make sure to fill in the case or file number if applicable.
3. Indicate whether this is a lost workday case by selecting ‘Yes’ or ‘No’.
4. Provide the employer's name, the name under which they do business (doing business as), and the employer's mailing address.
5. Include the employer’s email address and describe the nature of the business or service. The Standard Industrial Classification (SIC) code should also be provided.
6. Identify the workers' compensation carrier or administrator along with the policy or contract number. Specify if the employer is self-insured by selecting ‘Yes’ or ‘No’.
7. Fill in the employee's full name, birthdate, mailing address, email address, gender, and marital status.
8. Enter the job title or occupation of the employee, the date and time the employee began work, and the date of hire.
9. Record the last day the employee worked and, if applicable, the date of death resulting from the accident.
10. Specify whether the accident occurred on the employer's premises by selecting ‘Yes’ or ‘No’ and provide the address of the accident.
11. Detail the employee's activities at the time of the accident, how the accident occurred, and the nature of the injury or illness, including which part of the body was affected.
12. If applicable, list any objects or substances that may have caused the injury and provide the name and address of the physician or health care professional involved.
13. Indicate if treatment was given away from the worksite, including the name and address of the facility.
14. Select ‘Yes’ or ‘No’ to indicate if the employee was treated in an emergency room or hospitalized overnight.
15. Complete the report by entering the name of the preparer, their title, telephone number, and email address.
16. Sign the form and ensure all information is accurate before submission.
17. Once all sections are completed, save changes, download the document, or print it for submission to the Illinois Workers' Compensation Commission.

Complete your documents online for efficient processing.