Illinois > Workers Comp
Motion To Dismiss Attorney Of Record IC27 - Illinois
| Motion To Dismiss Attorney Of Record Form. This is a Illinois form and can be used in Workers Comp . |
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ILLINOIS WORKERS COMPENSATION COMMISSION MOTION TO DISMISS ATTORNEY OF RECORD _______________________________________________ Case # ________ WC ____________________ Employee/Petitioner v. _______________________________________________ Employer/Respondent The petitioner ____ respondent ____ requests the Commission to d ismiss the attorney of record in this case, _____________________________________________ , for the following reaso n: _____________________________________________ 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: www.iwcc.il.gov Downstate offices: Collinsville 618/346-3450 Peoria 309/671-3019 Ro ckford 815/987-7292 Springfield 217/785-7084 American LegalNet, Inc. www.USCourtForms.com
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