Mileage Worksheet for Medical Treatment, Examination, Physical Therapy, or Laboratory Test (PDF)
Although not an official Commission form, we provide this worksheet to injured employees who might need such a worksheet to report mileage incurred due to workers’ compensation-related medical appointments.
[NOTE: For complete information regarding this worksheet, refer to the Information Packet (PDF) and see also Public Act 01-33 for up-to-date mileage reimbursement rate information.]
Record of Employment Contacts (PDF)
Although not an official Commission form, we provide this worksheet to injured employees who might need such a worksheet to report contacts with employers during a job search while the employee is out on workers’ compensation.
[NOTE: For complete information regarding this, refer to the Information Packet (PDF)]