Form 18m 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the employee's name and address in the designated fields. Ensure accuracy as this information is crucial for processing.
3. Fill in the employer's details, including their name, address, and FEIN. This section helps identify the employer associated with the claim.
4. In Section A, state the date of injury and provide a reason for requesting additional medical compensation. Be clear and concise to avoid delays.
5. Indicate whether additional medical documentation is attached. If so, remember to place your I.C. File # on each attachment for reference.
6. Sign and date the form at the bottom of Section A to validate your application.
7. If applicable, complete Section B by having your treating physician fill out their information and provide their statement regarding additional medical needs.
8. Finally, send the original form to the Industrial Commission at the specified address and keep a copy for your records.

Start using our platform today to streamline your form completion process for free!