Subscribe

to our quarterly newsletter and subscriber-only special offers.

Illinois Worker's Compensation 

Automated Forms Package includes everything you need:

IC 1

Application for Adjustment of Claim

IC 4

Notice of Motion and Order

IC 5

Settlement Contract Lump Sum Petition and Order

IC 6

Appearance of Representative

IC 7

Petition for Immediate Hearing Under Section 19(b)

IC 8

Response to Petition for Immediate Hearing Under Section 19(b)

IC 9

Request for Hearing

IC 10

Attorney Representation Agreement

IC 11

Petition for Review of Arbitration Decision

IC 11a

Petition for Review of Arbitration Decision Under Section 19(h) or 8(a)

IC 14

Petition for Review Under Section 19(h) or 8(a)

IC 14a

Petition for Immediate Hearing Under Section 19(b-1)

IC 14b

Response to Petition for Immediate Hearing Under Section 19(b-1)

IC 14c

Notice of Pretrial Hearing Under Section 19(b-1)

IC 14d

Order to Dismiss or Withdraw Petition Under Section 19(b-1)

IC 15

Proof of Service

IC 16

Subpoena

IC 17

Motion to Voluntarily Dismiss

IC 19

Order to Dismiss Case for Want of Prosecution

IC 23

Petition to Reinstate Case

IC 27

Motion to Dismiss Attorney of Record

IC 28

Motion to Withdraw as Attorney of Record

IC 29

Stipulation to Substitute Attorneys

IC 30

Notice of Refiled Petition Under Section 19(b-1)

IC 31

Rehabilitation Plan

IC 32

Notice of Rejection of Settlement Contract

IC 33

Dedimus Potestatern

IC 34

Decision/Order

IC 34d

Decision (short form - appealable)

IC 34o

Order (short form - interlocutory)

IC 36

Request for Voluntary Arbitration

IC 41

Arbitration Information Sheet

IC 42

Request for Verification of Employer’s Insurance Coverage

IC 45

Employers First Report of Injury or Illness

IC 85

Employer’s Supplementary Report of Injury

IC PN

Notice to Employees from the State of Illinois

IC ArbDec

Arbitration Decision

IC ArbDecFatal

Arbitration Decision Regarding a Fatal Claim

IC ArbDecN&E

Arbitration Regarding the Nature and Extent of the Injury

IC ArbDec19(b-1)

19(b-1) Arbitration Decision

IC ArbDec19(b)

19(b) Arbitration Decision

Our software development team is continually working to improve and enhance our automated forms packages. If you are aware of a form that would make a positive addition to the above list, we'd love to hear about it! Please call us toll-free or email the information.

For immediate answers to your questions or to expedite an order, please call us toll-free 1-800-556-7526, extension 1007 or send us an email.

Pricing can be found on our secure ShopSite by clicking on the blue "Order Now" button. Promotions are currently running -- call the toll-free number above for details.

ABOUT      PRODUCTS BY STATE      PRODUCTS BY AREA      OTHER      CONTACT US      HOME

Note: Software development is a continual process of evolution. Therefore specifications and features listed within this web site and referred literature are subject to change without notice. Comments should be directed to the Webmaster. Copyright © 2005 DataTech Software, Inc.  All rights reserved. Click here for licensing information.