Diocese of Joliet

EMPLOYEE - INJURY/ACCIDENT

Workman's Compenstation Reporting Procedures

Complete both forms and send to:

                Diane Schultz
                 Catholic Mutual Group
                 101 Airport Rd.
                 Romeoville, IL 60446
                 815-838-2142 - phone
                 815-834-4079 - fax
                 dschultz@catholicmutual.org - email

1. IL Form 45: Employer's First Report of Injury

2. Employee Injury Form

please note:
to download a file, right-click on a link and select "Save Target As..."

please also note:
if you are asked for a User name and password, simply press Cancel

Agencies and offices are partially or fully funded by
generous donations to the Catholic Ministries Annual Appeal.

Home | Parishes | Schools | Site Map | Contact Us