Illinois First Report Form 45 – Fill Out and Use

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"... illinois Department of Revenue Crt 61 Cert cate of Resale Step identify the seller's name, business address, city state zip Step identify the buyer name, business address and date step. ..."

"... hip permits disclosure of nr pol st to healthcare professionals as necessary for treatment st state of illinois do not resuscitated nr practitioner orders idol illinois department of public health for life sustaining treatment pol st form php dr nn rd for patients use of this form is completely voluntary patient lastname patient first name ip hop follow these orders until changed these medical orders lds are based on the patients medical condition and prefer dateofbirth mm dd yy gender qm ten ces any section not completed does not invalidate the form and implies initiating all treatment for that section with significant change of condition new orders may address street city state zip code need to be written st cardiopulmonary resuscitation cpr if patient has no pulse and is not breathing id poh pq attempt resuscitation cpr do not attempt resuscitation nr dr check none selecting cpr means full treatment in section is selected rd ph when not in cardiopulmonary arrest follow orders band cop lid medical interventions if patient is found with pulse and or is breathing st full treatment primary goal of sustaining life by medically indicated means in addition to treatment check described in selective treatment and comfort focused treatment use in tuba tion mechanical ventilation and one optional car dio version as indicated transfer to hospital and or intensive care unit if indicated st sine led cdt it vio ent tro et are mate mnet ntp rie ms carri beg doi an lc of om tre ..."

"... llc 455 illinois file form limited liability company act this space for use by secretary of state may 2012 application for admission to secretary of state department of business services transact business limited liability division 501 seconds trm 351 submit in duplicate springfield il 62756 type or print clearly 2175248008 www cyber drive illinois com this space for use by secretary of state payment must be made by certified filing fee 500 check cashiers check illinois attorneys penalty check pas check or money order payable to secretary of state approved limited liability company name assumed name this item is only applicable if the company name in item is not available for use in ii lino is in which case form llc 120 must be completed and submitted with this application jurisdiction of organization date of organization period of duration enter perpetual unless there is date of dissolution provided in the agreement in which case enter that date address of the principal place of business po box alone or cois unacceptable number street suite city state zip code registered agent first name middle name lastname registered office number street suite po box alone or cois unacceptable city il zip code if applicable date on which company first conducted business in illinois continued on back printed by authority of the state of illinois october 20131 llc 1715 ..."

ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY, Please type or print. Employer's FEIN, Date of report, Case or File #, Is this a lost workday case?

Note that the Social Security Number field was eliminated from the accident report, application, and settlement contract. A field to designate State employees ...

Please send this form to: ILLINOIS WORKERS' COMPENSATION COMMISSION 4500 S. SIXTH ST. FRONTAGE ROAD SPRINGFIELD, IL 62703-5118. By law,.