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Certificate Of Mailing Workers Compensation CCL-0038 - Illinois
| Certificate Of Mailing Workers Compensation Form. This is a Illinois form and can be used in Law Cook Local County . |
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2838 (Rev. 11/01/04) CCL 0038 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, LAW DIVISION _________________________________________________ v. No. _____________________________Illinois Workers Compensation Commission of Illinois and } _________________________________________________ CERTIFICATE OF MAILING WORKERS COMPENSATION On _________________________________________, ________, I mailed a copy of the summons to the Illinois Workers Compensation Commission of Illinois, 100 West Randolph Street, Chicago, Illinois, and onthe same date I mailed copies to the parties and attorneys at the address as follows: Parties in interest Attorneys of record Dated: ____________________________, ________ ________________________________________ DOROTHY BROWN, Clerk of the Circuit Court DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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