Request For Voluntary Arbitration {IC36}

IC36 - REQUEST FOR VOLUNTARY ARBITRATION. This form is used by parties involved in a workers’ compensation dispute to request voluntary arbitration through the Illinois Workers’ Compensation Commission. It allows the employee (petitioner) and employer (respondent) to jointly ask the Commission to assign their case to voluntary arbitration under either Section 19(p) of the Workers' Compensation Act or Section 19(m) of the Occupational Diseases Act. By submitting this form, the parties agree that they are waiving certain rights and stipulate that the dispute is limited to specific issues such as temporary total disability, permanent partial disability, or medical expenses. The form also provides the option for the parties to select an arbitrator from the Commission’s designated list or choose the American Arbitration Association to hear the matter. The form includes an acknowledgment that parties may proceed without an attorney, understanding the legal implications, and that the arbitrator’s decision is final on factual findings with limited rights of appeal strictly on legal questions. The form must be signed by both parties, their attorneys if applicable, and the arbitrator to confirm agreement and understanding of the arbitration process. www.FormsWorkflow.com