Summons To Illinois Workers Compensation Commission Workers Compensation Review {CCL 0036}

Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 1 of 22144 - Served þ 2244 - Not Served þ 2344 - Served by MailSummons to Illinois Workeers222 Compensation CommissionWorker222s Compensation Review þ (08/06/18) CCL 0036 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOISCOUNTY DEPARTMENT, LAW DIVISION þ (Name all parties)v.Illinois Workers222 Compensation Commissionof Illinois and þ Case No. þ SUMMONS TO ILLINOIS WORKERS222 COMPENSATION COMMISSION WORKER222S COMPENSATION REVIEW To the Illinois Workers222 Compensation Commission of Illinois: þ on þ þ þ þ a transcript of the proceedings had þ þ in which a decision or award was rendered on for þ and against þ . American LegalNet, Inc. www.FormsWorkFlow.com Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 2 of 2 Witness, þ Clerk of the CourtDate of Service: þ Compensation Commission) þ þ þ þ þ Address: þ þ þ þ State: þ þ Zip: þ Telephone: þ þ þ Summons to Illinois Workeers222 Compensation CommissionWorker222s Compensation Review þ (08/06/18) CCL 0036 B American LegalNet, Inc. www.FormsWorkFlow.com