Illinois froi 2025

1. Click ‘Get Form’ to open the Illinois Employer's First Report of Injury (FROI) in the editor.
2. Begin by entering the Employer's FEIN and the date of the report at the top of the form. Ensure all information is typed clearly.
3. Fill in the case or file number, and indicate whether this is a lost workday case by selecting 'Yes' or 'No'.
4. Provide the employer's name, doing business as (DBA), mailing address, nature of business, SIC code, and details about your workers' compensation carrier.
5. Complete employee information including full name, Social Security number, mailing address, email address, dependents, birthdate, marital status, average weekly wage, job title, date hired, and time employee began work.
6. Document details of the accident: date and time it occurred, last day worked by the employee, and if applicable, date of death. Indicate if it happened on employer's premises.
7. Describe what the employee was doing at the time of the accident and how it occurred. List any injuries sustained and provide details about treatment received.
8. Finally, ensure that a report preparer signs off on the document before sending it to the Illinois Workers' Compensation Commission at 701 S. Second Street, Springfield, IL 62704.

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