This is one of the official workers' compensation forms for the state of Illinois
Illinois Attorney Representation Agreement for Workers' Compensation
State:
Illinois
Control #:
IL-IC10-WC
Format:
Word;
PDF;
Rich Text
Instant download
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Description
How to fill out Illinois Attorney Representation Agreement For Workers' Compensation?
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FAQ
Seek medical care. It is important that you seek medical care as soon as you know that you have sustained a workplace injury. Notify your employer. Employer response. Regularly report to your employer. Check the status of your claim.
How much does workers' compensation insurance cost in Illinois? Workers' compensation insurance costs vary by state and the nature of the occupation. Estimated employer costs for workers' compensation in Illinois are $1.07 per $100 covered in payroll.
You must notify your employer of the accidental injury or illness within 45 days, either orally or in writing. To avoid possible delays, it is recommended the notice also include your name, address, telephone number, Social Security number, and a brief description of the injury or illness.
Seek medical help. Any time you are injured, you should seek medical care right away. Notify your employer. Document your injuries. Report to your employer regularly. Check the status of your claim.
Illinois workers' comp benefits include reasonable medical care required to cure or relieve the impact of the injury, temporary total or partial disability disability benefits, vocational rehabilitation, permanent partial or total disability benefits, and death benefits. Workers' comp benefits are not taxable.