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Please send this form to: ILLINOIS WORKERS' COMPENSATION COMMISSION 4500 S. SIXTH ST. FRONTAGE RD SPRINGFIELD, IL 62703. By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries).
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).
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.
ILLINOIS FORM 45: EMPLOYER’S FIRST REPORT OF INJURY Please type or print. 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).
Make any changes required: insert text and photos to your Illinois form 45, highlight important details, remove parts of content and substitute them with new ones, and add symbols, checkmarks, and fields for filling out.
IC45 9/03. 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 INDUSTRIAL COMMISSION 701 S. SECOND STREET SPRINGFIELD, IL 62704. IC45 1/02 By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries). Emp loyers
