Petition For Review Of Arbitration Decision Under Section 19b-1 {IC11a} | Pdf Fpdf Doc Docx | Illinois

 Illinois   Workers Comp 
Petition For Review Of Arbitration Decision Under Section 19b-1 {IC11a} | Pdf Fpdf Doc Docx | Illinois

Last updated: 8/11/2025

Petition For Review Of Arbitration Decision Under Section 19b-1 {IC11a}

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Description

IC11a - PETITION FOR REVIEW OF ARBITRATION DECISION UNDER SECTION 19(b-1) OF THE ACT. This form is used to request the Illinois Workers’ Compensation Commission to review an arbitration decision under Section 19(b-1) of the Illinois Workers’ Compensation Act. It is filed by either the petitioner or the respondent when they wish to challenge the arbitrator’s ruling in a workers’ compensation case. The form allows the filing party to specify the date the decision was issued, request transcripts of the arbitration hearings, and identify the specific issues in dispute, such as accident occurrence, medical expenses, penalties and fees, statute of limitations, benefit rates, employment relationship, occupational disease, jurisdiction, and temporary disability. The party filing the petition must also provide supporting testimony or exhibits, serve copies of the form on all parties involved, and complete the proof of service section, which must be notarized if the server is not an attorney. www.FormsWorkflow.com

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