Ill. Admin. Code tit. 92, § 1225.1165
b) Items, units, or loose-leaf pages may not be reissued to effect the cancellation. Instead, the cancellation shall be made by a statement substantially as follows:
Provisions formerly shown in (identify provisions by item number, segment, page, Section, or table) which were adopted by new carrier's name) are canceled. Apply provisions in (identify provisions by item number, segment, page, Section, or table) of (issuing carrier's or agent's name and ILLCC designation of tariff).
c) The cancellation statement shall be published in a special supplement to the tariff, whether bound or loose-leaf, which: