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Il Form 45. Ic01 application for adjustment of claim (rev. Illinois workers' compensation commission 4500 s.
Web please send this form to: Illinois workers' compensation commission 4500 s. Second street springfield, il 62704. Web please send this form to the illinois workers' compensation commission 701 s. Web please fax the completed form to: Web these three forms are completed directly in compfile. Web please send this form to the illinois industrial commission 701 s. Ic01 application for adjustment of claim (rev.
Illinois workers' compensation commission 4500 s. Web please send this form to the illinois workers' compensation commission 701 s. Second street springfield, il 62704. Web please fax the completed form to: Web please send this form to the illinois industrial commission 701 s. Illinois workers' compensation commission 4500 s. Web please send this form to: Ic01 application for adjustment of claim (rev. Web these three forms are completed directly in compfile.
