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By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries). Employers shall report to the Commission all injuries resulting in the loss of more than three scheduled workdays.
Please send this form to the ILLINOIS WORKERS' COMPENSATION COMMISSION 701 S. SECOND STREET SPRINGFIELD, IL 62704. IC45 12/04 By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries). Employers
Please send this form to: ILLINOIS WORKERS’ COMPENSATION COMMISSION 4500 S. SIXTH ST. FRONTAGE ROAD, SPRINGFIELD, IL 62703-5118. By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries). Employers shall report to the Commission all injuries resulting in the loss of more than
Illinois First Report Form 45 – Fill Out and Use This PDF. The Illinois First Report 45 form is a crucial document designed to help employers in Illinois accurately report work-related injuries or illnesses that result in more than three lost workdays.
ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY. Please send this form to: ILLINOIS WORKERS' COMPENSATION COMMISSION 4500 S. SIXTH ST. FRONTAGE ROAD SPRINGFIELD, IL 62703-5118. By law, employers must keep accurate records of all work related injuries or illness (except for certail minor injuries).
Form revised 9/2023 IL Form 45 | Page 1 of 1 . Return this form by email to imlrmaclaimsreports@ccmsi.com or by fax to (312) 455-6477.
By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries). Employers shall report to the Commission all injuries resulting in the loss of more than three scheduled workdays.
