Illinois Workers Comp Forms

Find Illinois workers compensation forms and coverage guides.

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.

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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.

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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