FORMS & INFORMATION EMPLOYEE NEEDS

FORMS & INFORMATION EMPLOYEE NEEDS

• Treatment Authorization from the Supervisor
• Worker’s Compensation Registration Form
• New Employer Account information
• Form
• Employee needs to bring authorization from his or her supervisor approving that the injury was work related. Include supervisor first and last name, title, company name, address, telephone, fax, and email address.
• Bring the contact information for us to contact your workers compensation insurance information.

If you need assistance completing any necessary paperwork to satisfy the Illinois Industrial Commission www.iwcc.il.gov/forms.htm

Our staff is here to serve you and take care of all your employees’ health care needs.

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