Free IC19 - Illinois


File Size: 16.3 kB
Pages: 1
Date: October 11, 2005
File Format: PDF
State: Illinois
Category: Workers Compensation
Author: SPiha
Word Count: 127 Words, 973 Characters
Page Size: 612 x 793 pts
URL

http://www.iwcc.il.gov/ic19FORM.pdf

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ILLINOIS WORKERS' COMPENSATION COMMISSION
ORDER TO DISMISS CASE FOR WANT OF PROSECUTION
ATTENTION. The parties have 60 days from the receipt of this order to file a Petition to Reinstate Case.

_____________________________________________
Employee/Petitioner v.

Case # ________ WC ____________________

_____________________________________________
Employer/Respondent

After this case was filed by the petitioner, all parties received due notice, but the petitioner failed to appear at a status call or trial date. Accordingly, as provided by law, I order that this case is dismissed for want of prosecution.

_____________________________________________________ Signature of arbitrator or commissioner

____________________________ Date

IC19 12/04 100 W. Randolph St. #8-200 Chicago, IL 60601 312/814-611 Toll-free 866/352-3033 Web site: www.iwcc.il.gov Downstate offices: Collinsville 618/346-3450 Peoria 309/671-3019 Rockford 815/987-7292 Springfield 217/785-7084