Illinois Workers' Compensation Commission Motion To Dismiss Attorney Of Record Form

Download a blank fillable Illinois Workers' Compensation Commission Motion To Dismiss Attorney Of Record Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Illinois Workers' Compensation Commission Motion To Dismiss Attorney Of Record Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION
MOTION TO DISMISS ATTORNEY OF RECORD
_______________________________________________
Case #
WC
________
____________________
Employee/Petitioner
v.
_______________________________________________
Employer/Respondent
The petitioner ____
respondent ____ requests the Commission to dismiss the attorney of record in this case,
_____________________________________________ , for the following reason:
_____________________________________________
Signature
_____________________________________________
Name (please print)
_____________________________
Date
IC27 12/04 100 W. Randolph St. #8-200 Chicago, IL 60601 312/814-611
Toll-free 866/352-3033 Web site:
Downstate offices: Collinsville 618/346-3450 Peoria 309/671-3019 Rockford 815/987-7292 Springfield 217/785-7084

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go