Petition To Reinstate Case {IC23}

IC23 - PETITION TO REINSTATE CASE. This form is used to request the Illinois Workers’ Compensation Commission to reinstate a workers’ compensation case that was previously dismissed for want of prosecution. The petition must be filed within 60 days of receiving the dismissal order. The filer must provide the case number, names of the parties, the date of dismissal, the date the dismissal order was received, and the reason for requesting reinstatement. The form also requires the name of the arbitrator before whom the petition will be presented, as well as the filer’s signature, printed name, contact information, and date of submission. www.FormsWorkflow.com