Illinois Injury Report Form

State:
Multi-State
Control #:
US-1340837BG
Format:
Word; 
Rich Text
Instant download

Description

This form is an example of an injury report form that may be used by a Company in order to report injuries on the job.
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FAQ

Employers must report any worker fatality within 8 hours and any amputation, loss of an eye, or hospitalization of a worker within 24 hours.

What Is the Waiting Period for Workers' Compensation in Illinois? There is a three workday waiting period for workers' compensation in Illinois. This means hurt or sick employees get benefits on the fourth day if they're still hurt or sick.

In Illinois, workers' compensation benefits can last from a few weeks to several years or even for life in some severe cases. The statute of limitations for filing a workers' compensation claim is three years from the date of the injury or two years from the last payment of benefits, whichever is later.

If the injury resulted from an intentional or egregious act by the employer, then the employee could sue. If the employer does not have workers' compensation insurance, then the employee may sue. And, if a third party caused the injury, the employee could sue that person.

ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY.

You must report your work injury to your boss within 45 days in Illinois. Generally, if you're injured on the job, you must file a claim for benefits under the Illinois Workers' Compensation Act within three years of the date of the injury (or within two years of the last payment of benefits, whichever is later).

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.

Typically, the employer and employee work together to determine the total weekly compensation to be paid (not to exceed 162 weeks). This number is then multiplied by 60% of the employee's AWW to determine total compensation.

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Illinois Injury Report Form