Illinois Workers' Compensation Notice Mandatory

WORKERS'	 	
COMPENSATION	 	
 
 
is a system of benefits provided by law to most workers who have job	-related injuries or illnesses.  Benefits are paid for 	
injuries that are caused, in whole or in part, by an employee's work.  T\
his may include the aggravation of a	 pre	-existing 	
condition, injuries brought on by the repetitive use of a part of the bo\
dy, heart attacks, or any other physical problem caus	ed 	
by work.  Benefits are paid regardless of fault.  	 	 
IF YOU 	HAVE	 A WORK	-RELATED INJURY OR ILLNESS, TAKE THE FOLLOWI	NG STEPS:	 	 
1. GET MEDICAL ASSISTANCE.	  By law, your employer must pay for all necessary medical services requir\
ed to cure 	
or relieve the effects of the injury or illness.  	Where necessary, the employer must also pay for physical, mental, or 	
vocational reha	bilitation, within prescribed limits.  	The employee may choose two physicians, surgeons, or hospitals. 	 If 	
the employer 	notifies you 	that it 	has a	n approved	 Preferred Provider Program	 for workers’ compensation	, the PPP	 counts 	
as one of your two choices of providers.  	 	 
2. NOTIFY YOUR EMPLOYER.	  You must notify your employer of the accidental injury or illness within \
45 days, 	
either oral	ly or in writing.  To avoid possible delays, it is recommended the notic\
e also include your name, address, 	
telephone number, Social Security number, and a brief description of the\
 injury or illness.	 	 
3. LEARN YOUR RIGHTS.	  Your employer is required by law 	to report accidents that result in more than three lost 	
work days to the Workers’ Compensation Commission.  Once the accident\
 is reported, you should receive a handbook that 
explains the law, benefits, and procedures.  If you need a handbook, ple\
ase call t	he Commission or go to the Web site.	 	 
 	If you must lose time from work to recover from the injury or illness, y\
ou may be entitled to receive weekly payments and 
necessary medical care until you are able to return to work that is reas\
onably available to you	.   	 
 	It is against the law for an employer to harass, discharge, refuse to re\
hire or in any way discriminate against an employee 
for exercising his or her rights under the Workers' Compensation or Occu\
pational Diseases Acts.  If you file a fraudulent 
clai	m, you may be penalized under the law.	 	 
4. KEEP WITHIN THE TIME LIMITS.	  Generally, claims must be filed within three years of the injury or 	
disablement from an occupational disease, or within two years of the las\
t workers' compensation payment, whichever 	is 	
later.  Claims for pneumoconiosis, radiological exposure, asbestosis, or\
 similar diseases have special requirements.	 	 
 	Injured workers have the right to reopen their case within 30 months aft\
er an award is made if the disability increases, but 
cases tha	t are resolved by a lump	-sum settlement contract approved by the Commission cannot be reopened.  \
Only 	
settlements approved by the Commission are binding.	 	 
For more information, go to the Illinois Workers’ Compensation Commis\
sion’s Web site or call any offi	ce: 	 	 Toll	-free:	 866/352	-3033	 	Chicago:	 	312/814	-6611	 	Peoria:	 	309/671	-3019	 	Springfield:	 	217/785	-7087	 	
Web site:	 www.iwcc.il.gov	 	Collinsville:	 618/346	-3450	 	Rockford:	 815/987	-7292	 	TDD (Deaf):	 	312/814	-2959	 	 	
BY LAW	, EMPLOYERS MUST DISPL AY THIS NOTICE IN A PROMINENT PLACE 	 	
IN EACH WORKPLACE AN D COMPLETE THE INFORMATION BELOW	. 	
Party handling workersʼ 
compensation claims  	
 
 
 
 
 	
 	
Business address  	
 
 
 
 
 	
 	
Business phone  	
 
 
 
 
 	
 	
Effective date  	
 
 
 
 
 	
 	Termination date  	
 
 
 
 
 	
 	
Policy number  	
 
 
 
 
 	
 	Employer's FEIN 	
 
 
 
 
 	
 	  ICPN	 10/11    Printed by the	 authority of the State of Illinois.