Illinois First Report Form 45 PDF Details

Illinois First Report Form 45 is the form used to report any suspected abuse, neglect, or financial exploitation of an adult who resides in Illinois. This form must be filed with the Illinois Department of Aging within 24 hours of the suspicion. The form is short and straightforward, making it easy to complete. It is important to note that this form should not be filed unless there is a reasonable suspicion that abuse, neglect, or financial exploitation has occurred. Filing false reports can lead to criminal charges.

You'll discover info about the type of form you want to complete in the table. It will show you the amount of time you will require to fill out illinois first report form 45, exactly what fields you will need to fill in and some other specific facts.

QuestionAnswer
Form NameIllinois First Report Form 45
Form Length1 pages
Fillable?Yes
Fillable fields46
Avg. time to fill out9 min 31 sec
Other namesillinois form 45 fillable, first report of injury form illinois, il form 45, illinois first report of injury form

Form Preview Example

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?

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

Employer's name

 

 

 

 

 

 

Doing business as

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer's mailing address

 

 

 

 

 

 

 

 

 

 

Employer’s email address

 

 

 

 

 

 

 

 

 

 

 

 

 

Nature of business or service

 

 

 

 

 

 

 

 

 

 

SIC code

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of workers' compensation carrier/admin.

 

 

 

 

Policy/Contract #

 

 

 

Self-insured?

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

Employee's full name

 

 

 

 

 

 

 

 

 

 

 

Birthdate

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee's mailing address

 

 

 

 

 

 

 

 

 

 

Employee's e-mail address

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 

Marital status

 

 

 

 

# Dependents

 

 

 

Employee's average weekly wage

Male

Female

Married

Single

 

 

 

 

 

 

 

 

 

Job title or occupation

 

 

 

 

 

 

 

 

 

 

 

Date hired

 

 

 

 

 

 

 

 

 

 

 

 

Time employee began work

Date and time of accident

 

 

 

 

 

 

 

Last day employee worked

 

 

 

 

 

 

 

If the employee died as a result of the accident, give the date of death.

 

Did the accident occur on the employer's premises?

 

 

 

 

 

 

 

 

Yes

 

No

 

Address of accident

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What was the employee doing when the accident occurred?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How did the accident occur?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What was the injury or illness? List the part of body affected and explain how it was affected.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What object or substance, if any, directly harmed the employee?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and address of physician/health care professional

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If treatment was given away from the worksite, list the name and address of the place it was given.

 

 

 

 

 

 

 

Was the employee treated in an emergency room?

 

 

Was the employee hospitalized overnight as an inpatient?

 

Yes

No

 

 

 

 

 

 

Yes

No

 

 

 

 

Report prepared by

 

Signature

 

 

Title and telephone #

 

 

Email address

 

 

 

 

 

 

Please send this form to: ILLINOIS WORKERS' COMPENSATION COMMISSION 4500 S. SIXTH ST. FRONTAGE RD SPRINGFIELD, IL

62703

By law, employers must keep accurate records of all work-related injuries and illness (except for certain minor injuries). Employers shall report to the Commission all injuries resulting in the loss of more than three scheduled workdays. Filing this form does not affect liability under the Workers’ Compensation Act and is not incriminatory in any way. This information is confidential. IC45 8/12

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entering details in illinois form 45 fillable part 1

Complete the Date, and, time, of, accident section using the particulars requested by the program.

illinois form 45 fillable Dateandtimeofaccident blanks to fill

Note the vital information in Email, address and Signature segment.

illinois form 45 fillable Emailaddress, and Signature fields to fill out

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