As mandated by the Illinois Workers' Compensation Commission, covered employers must complete and file the Illinois Employer's Supplementary Report of Injury, IC85.
As mandated by the Illinois Workers' Compensation Commission, covered employers must complete and file the Illinois Employer's First Report of Injury, IC45.
As mandated by the New York State Workers' Compensation Board, covered employers must use the Employer's Report of Injured Employee's Change in Status Resulting from Injury, C-11.