We help business owners navigate Illinois workers' comp rules.

Illinois is a relatively easy state for workers compensation forms. Unlike most other states that require owner inclusion or owner exclusion forms to be filed with the insurance company and Department of Insurance, Illinois only requires this information to be listed on the Acord application. Owners should always check the policy to be sure they are properly included or excluded.

We make every effort to keep our Illinois workers compensation forms library up-to-date with the latest versions of state forms. If you have a question about a form or need assistance please contact one of our Specialists.

We always appreciate the opportunity to win your business. Call 888-611-7467 for a free quote.

Illinois Workers Compensation Insurance Forms

IL Acord 130 Workers Compensation Application

The standard Acord 130 application form for workers comp coverage in Illinois.

Illinois First Report of Injury Form

IL First Report of Injury Form.  Employers should complete this form and send to their insurance company each time an injury occurs.

Illinois Confidential Workers' Compensation Premium Credit Application

Complete this form to apply for the Illinois Contracting Classification Premium Adjustment Program.

Illinois Workers' Compensation Coverage Election/Rejection Form

Complete this form to select elect or reject workers' compensation coverage for the state of Illinois.

Illinois Supplementary Report of Injury

Complete this form to update the status of an ongoing workers' compensation claim.

Illinois Notice of Workers Compensation

This document should be completed and placed in a conspicuous place at each jobsite.

Illinois Workers Comp Handbook

The current and official handbook on workers compensation insurance in Illinois for employers.

Workers' Comp Exemption

Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.

Waiver of Subrogation

A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.

Certificate of Insurance

A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.


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State Resources for Illinois

Illinois Department Of Insurance

320 W. Washington
Springfield, IL 62767
217-782-4515
IL Dept. of Insurance

Illinois Workers Compensation Commission

100 W. Randolph, Ste 8-200
Chicago, IL 60601
312-814-6611
IL Workers Comp Commission

Workers compensation insurance is required by law for Illinois employers.

Employers may be subject to penalties and fines by the state for failure to purchase coverage. The state differentiates between Negligent failure and knowing failure. Penalties are discussed on our Illinois information page.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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