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Chicago Workers' Compensation: How to File Application for Adjustment of ClaimWritten by: Michael J. Helfand Reputation Level 16
Posted over 2 years ago. Applies to Illinois, 0 helpful votes, 0 comments
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First things firstIf you were hurt at work, see a doctor and notify your employer. If you want to hire an attorney (we always think this is a good idea) then the sooner the better. Regardless of whether you hire an attorney, the next step is to file an Application for Adjustment of Claim. 2
What it isThe application is the official form that starts a claim with the Illinois Workers' Compensation Commission. It should be filed in every case. While you may start receiving benefits without filing this form, it's recommended that you file it anyway. Down the road, if there is a dispute, it will give you a head start if your case is already in the system. 3
Get a copy of the formThe form you need is produced by the Commission. You can get the form online from their website (see link below). You can call or email the Commission and ask that the form be mailed to you (call 312-814-6633). Forms also are available at the Commission office downtown. 4
Fill out the formThe form requires your name and address, your employer's name and address, the location of your injury, and asks for details about your injury. Fill everything out completely and sign at the bottom. Then fill out the Proof of Service page, which is proof that you gave a copy to your employer (this is required). If an attorney doesn't do this for you, then you must get your signature notarized. You can give a copy of the application to your employer in person or by mail. 5
Submit the formNext, you must submit three copies of the signed application to the Commission's office in downtown Chicago. This is the place where all Illinois claims are filed. You can mail the copies or deliver them in person. The address is 100 W. Randolph Street, #8-200, Chicago, IL 60601. Make sure you keep a copy of the forms for yourself. There is no fee for filing the application. 6
Wait for arbitrator assignmentAfter you file the forms, you should receive a Notice of Hearing. This will tell you which arbitrator has been assigned to your case. You will have a status call on your case every two months. The date of the first status call will be noted on your Notice of Hearing. You do not have to go and appear in front of the arbitrator unless there is an issue or either party requests a trial. This process goes on for three years if the case isn't closed before then. If the case is still open after three years, you must appear before the arbitrator and tell them why your case should remain open. Additional ResourcesYou have the right to file an Application for Adjustment of Claim yourself, and represent yourself in front of the arbitrator. However, we highly recommend hiring an attorney. We've seen many cases where this has made a difference. If you need help finding the right attorney, give us a call. We'll recommend an experienced workers' compensation attorney in Chicago, for free. Related Questions1 Attorney answers: 
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