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Administrative Review Cover Sheet

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Administrative Review Cover Sheet

(Rev. 11/06/13) CCM 0142

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

FIRST MUNICIPAL, CIVIL DIVISION

___________________________________________________

Plaintiff

No. _______________________________________

___________________________________________________

Defendant

ADMINISTRATIVE REVIEW COVER SHEET

An Administrative Review Cover Sheet shall be ﬁ led with the complaint in Administrative Review actions. The information

contained herein is for administrative purposes only and cannot be introduced into evidence. Please check the box in front of the

appropriate general category and then check the subcategory there under, if applicable, which best characteriszes your action.

 Parking Tickets

 Non-Parking Ordinance Violation

 Ticketing Agent Issued Tickets (90)

 Animal Care & Control (AC)

 Police Ofﬁ cer Issued Tickets (00)

 Buildings Nuisance (BN)

 Red Light Camera Ticket (700)

 Buildings Standard (BS)

 Boot, Tow and Pre-seizure Cases

 Buildings Target (BT)

 Chicago Police (CP)

(License Plate #)

 Post-Tow (PT)

 Consumer Services (CS)

 Dept. of Health (DH)

 Dept. of Streets & Sanitation (DS)

 Dept. of Transportation (DT)

(effect road or sidewalks)

 Dept. of Environment (E)

 Gun Registration (GR)

 Revenue and/or Dept. of Business

Affairs & Licensing (RV)

 Property Damage (PD)

 Vehicle Impoundment Dept. of

Streets and Sanitation (VP)

 Wage Garnishment (WD)

______________________________________________

By:

Service via email from opposing party/counsel will be

accepted at:

 Atty. No.: ______________________________  Pro Se 99500

________________________________________________

____________________________________________

Name:

by consent pursuant to 111. Sup. Court. Rules 11 and 131.

Atty. for: _________________________________________

__________________________________________

Address:

Pro Se Only:  I have read and agree to the terms of the

__________________________________

City/State/Zip Code:

Clerk’s Ofﬁ ce Electronic Notice Policy and choose to opt

_________________________________________

Telephone:

in to electronic notice from the Clerk’s ofﬁ ce for this case

at this email address:

________________________________________________________________

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

Administrative Review Cover Sheet

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