INJURED WORKERS’ BENEFIT FUND: REQUEST FOR BENEFITS AND AFFIDAVIT Forms
| Form Name | INJURED WORKERS’ BENEFIT FUND: REQUEST FOR BENEFITS AND AFFIDAVIT |
| Form # | IC44 |
| Form Revision | 4/22 |
| Category | Forms » Legal/Fraud |
| Downloads | |
| Form State | Illinois |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |