Certificate Of Mailing Workers Compensation {CCL-0038} | Pdf Doc Docx | Illinois

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Certificate Of Mailing Workers Compensation {CCL-0038} | Pdf Doc Docx | Illinois

Certificate Of Mailing Workers Compensation {CCL-0038}

This is a Illinois form that can be used for Law within Local County, Cook.

Alternate TextLast updated: 7/12/2011

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2838 (Rev. 11/01/04) CCL 0038 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, LAW DIVISION _________________________________________________ v. No. _____________________________Illinois Workers Compensation Commission of Illinois and } _________________________________________________ CERTIFICATE OF MAILING WORKERS COMPENSATION On _________________________________________, ________, I mailed a copy of the summons to the Illinois Workers Compensation Commission of Illinois, 100 West Randolph Street, Chicago, Illinois, and onthe same date I mailed copies to the parties and attorneys at the address as follows: Parties in interest Attorneys of record Dated: ____________________________, ________ ________________________________________ DOROTHY BROWN, Clerk of the Circuit Court DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

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