What is the Illinois First Report 45 form?
The Illinois First Report 45 form is an official document that employers must fill out to report work-related injuries to the Illinois Workers' Compensation Commission. This report is essential for documenting accidents in the workplace and helps ensure that injured employees receive the necessary benefits and care.
Who needs to complete this form?
Employers in Illinois need to complete this form whenever a work-related injury occurs, especially if it results in the loss of more than three scheduled workdays. It records important details about the incident and the employee affected.
What information is required on the form?
The form asks for specific details, including the employer's information, the employee's information, the nature of the injury, how the accident occurred, and the treatment received. Each section must be filled out accurately to ensure the report is valid.
Where do I send the completed form?
Once the form is completed, it should be sent to the Illinois Workers' Compensation Commission at 4500 S. Sixth St. Frontage Rd, Springfield, IL 62703. It's important to ensure that it is sent promptly to meet reporting requirements.
Is this form confidential?
Yes, the information submitted on the Illinois First Report 45 form is confidential. It is kept secure and used only for the purposes of processing workers' compensation claims and ensuring compliance with the Workers’ Compensation Act.
What happens if the employee dies as a result of the accident?
If the employee dies as a result of a work-related accident, the form must still be completed. The date of death should be reported on the form, and this information is critical for any potential claims by the employee’s dependents.
Can I send the form electronically?
The form must be filed with the necessary information included. Whether sent electronically depends on the specific procedures set by the Illinois Workers' Compensation Commission. It's advised to check their website or contact them directly for guidance on submission methods.
What if I make a mistake while filling out the form?
If you realize there is a mistake after submitting the form, contact the Illinois Workers' Compensation Commission as soon as possible. They can provide guidance on correcting errors and ensuring the record is updated appropriately.
Does completing this form affect liability under the Workers’ Compensation Act?
No, filing the Illinois First Report 45 form does not affect an employer's liability under the Workers’ Compensation Act. It serves as a record of the incident without admitting fault or liability.