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Illinois Application for Adjustment for Workers' Compensation

State:
Illinois
Control #:
IL-IC1-WC
Format:
Word; 
PDF; 
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Description

This is one of the official workers' compensation forms for the state of Illinois

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FAQ

Mental Health Conditions May Be Covered Under Workers' Comp In the workers' compensation system, any type of work-related illness or injury may entitle you to receive benefits. This includes emotional and/or mental stress injuries that a worker suffers as a result of their job.

Before you talk to an insurance adjuster, understand their role. Avoid giving lots of details about the accident or your material damages. Avoid giving a lot of details about the injury. Do not sign anything or give a recorded statement. Don't settle on the first offer. With all that in mind2026

As a general rule of thumb, you should never discuss anything except the basic facts of the accident, including where it occurred, the date and time it occurred, what type of accident it was, and which body parts were injured.

Temporary Total Disability: For example, if the medical provider has stated that the injured worker has temporary total disability ; it would not be advisable to partake in activities such as mowing the lawn, shoveling snow, or any recreational activity.

Get your weekly disability check started, if you're not receiving it already. Maximize your weekly benefit check. Report all super-added injuries. Seek psychological care, when appropriate. Seek pain management care, when appropriate. Don't refuse medical procedures. Be very careful what you tell the doctor.

After a settlement has been approved, you typically get paid within 30 days. If you have a work comp case that can be filed in Illinois and another state, if you settle the case in that other state, you still might be able to get a settlement in Illinois.

Asking You to Give a Signed or Recorded Statement Soon After the Work-Related Accident. Asking You to Sign a Medical Authorization Form. Tell You that Hiring an Attorney Will Cost You Money or Slow Down Your Claim.

1. Scheduled injury. Illinois law allows for a maximum number of weeks of compensation available for various body parts.Using this method, an employee determines total compensation by multiplying 60% of their average weekly wages by the number of weeks allotted for the body part injured.

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Illinois Application for Adjustment for Workers' Compensation