Child Representation Order Form - Lake County, Illinois
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2IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
)
)
)
Petitioner
)
and
)
Case No. __________________________
)
)
)
Respondent
)
CHILD REPRESENTATION ORDER
Pursuant to 750 ILCS 5/506, the court appoints the attorney named below to serve as:
Child(ren)’s Representative.
Attorney to represent the child(ren).
Guardian ad litem (GAL).
The Parties shall contact the attorney and provide him/her with relevant pleadings within two (2) days.
1. Attorney
Name: _______________________________________________________
Telephone _____________________
Address: ______________________________________________________________________________________
2. Children
Name
Age
Residing with
________________________________________
_______
______________________________________
________________________________________
_______
______________________________________
________________________________________
_______
______________________________________
________________________________________
_______
______________________________________
3. Fees
Fees, costs, and the initial retainer shall be paid as follows:
Party A ________ %
Party B ________ %
Other
________ %
The initial retainer is set at $_______________ to be paid within ______________ days.
The attorney appointed herein shall file with the court a detailed invoice for services rendered within 90 days and shall
send a copy to each party. The case is set for the review of initial fees on ___________________________________
(Insert a date not later than 90 days from date of this order.)
4. Parties
Party A:
Name of Party ____________________________________________________ Telephone _______________
Address ___________________________________________________________________________________
Attorney __________________________________________________________
Telephone _______________
Attorney’s address _________________________________________________ FAX ____________________
Party B:
Name of Party ____________________________________________________ Telephone _______________
Address ___________________________________________________________________________________
Attorney __________________________________________________________
Telephone _______________
Attorney’s address _________________________________________________ FAX ____________________
Page 1 of 2
171-344 (Rev. 06/13)
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