Illinois > Local County > Lake > Criminal

Certificate Of Relief From Disabilities - Illinois

Certificate Of Relief From Disabilities Form. This is a Illinois form and can be used in Criminal Lake Local County .
 Fillable pdf Last Modified 7/21/2005
Get this form for FREE as a print-only pdf

STATE OF ILLINOIS CIRCUIT COURT OF LAKE COUNTY CERTIFICATE OF RELIEF FROM DISABILITIES Pursuant to the provisions of 730 ILCS 5/5-5.5-15, this certificate is issued to the holder to grant relief from the disabilities enumerated herein. The original certificate shall be retained by the holder, a copy shall be retained by the court, and copies shall be filed with the Illinois Department of Professional Regulation and the Illinois State Police. Case Number: Holder of Certificate: Address: Street City State Zip Social Security #: Offense of Conviction: Date of Birth: Date of Sentence: This certificate shall relieve the holder of disabilities or bars to employment herein enumerated: Pursuant to the provisions of 730 ILCS 5/5-5.5-35, this certificate is deemed to be temporary and is subject to revocation for cause. This certificate does not guarantee the issuance of a license; the holder must comply with all requirements of the licensing agency. This certificate shall not be deemed or construed to be a pardon. Judge's Signature: Copies To: Department of Professional Regulation Licensing & Testing Division 320 W. Washington Street Springfield, IL 62786-0002 Date: Illinois State Police Bureau of Identification 260 N. Chicago Street Joliet, IL 60432 American LegalNet, Inc.
Link/Embed this Document

Popular Searches

  1. divorce forms
  2. abstract of judgment
  3. form interrogatories
  4. Affidavit of Indigency
  5. MOTION for continuance
  7. order of protection
  8. quit claim deed
  9. Case Management Statement
  10. Civil Case Cover Sheet

Bookmark and Share