Petition For Review Of Arbitration Decision {IC11} | Pdf Fpdf Doc Docx | Illinois

 Illinois   Workers Comp 
Petition For Review Of Arbitration Decision {IC11} | Pdf Fpdf Doc Docx | Illinois

Last updated: 8/11/2025

Petition For Review Of Arbitration Decision {IC11}

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Description

IC11 - PETITION FOR REVIEW OF ARBITRATION DECISION. This form is used by a party in an Illinois workers’ compensation case to appeal an arbitration decision to the Illinois Workers’ Compensation Commission. It must be filed within 30 days of receiving the arbitration decision and requires the filing party to request a review, order preparation of the hearing transcript, and guarantee payment for associated costs. The form allows the appealing party to specify the issues being challenged, such as accident details, medical expenses, penalties, disability determinations, benefit rates, notice, employment relationship, occupational disease, statute of limitations, jurisdiction, and temporary disability. It also provides the option to request or waive oral argument. The form includes a proof of service section to confirm delivery of a copy to all other parties, which must be notarized if completed by someone who is not an attorney. www.FormsWorkflow.com

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