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Summons In Administrative Review CCL 0092 - Illinois
| Summons In Administrative Review Form. This is a Illinois form and can be used in Law Cook Local County . |
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Print Form Clear Form Summons in Administrative Review IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - LAW DIVISION (Rev. 3/29/07) CCL 0092 __________________________________________________ PLAINTIFF v. ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY, an administrative agency of the State of Illinois; DIRECTOR OF THE ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY; BOARD OF REVIEW, an administrative agency of the State of Illinois; and No. ______________________________ _________________________________________, employer DEFENDANTS SUMMONS IN ADMINISTRATIVE REVIEW To each defendant: YOU ARE SUMMONED and required to file an answer in this case or otherwise file your appearance in the office of the clerk of this court located in Room 801, Richard J. Daley Center, 50 W. Washington, Chicago, Illinois within 35 days after the date of this summmons. WITNESS _________________________, _______ _____________________________________________ Name: Address: __________________________________________ __________________________________________ City/State/Zip: __________________________________________ Telephone: __________________________________________ CERTIFICATE OF MAILING On _________________________________, __________ I sent by registered mail a copy of this summons to each defendant addressed as follows: DEFENDANT Board of Review Director of the Illinois DEPARTMENT OF EMPLOYMENT SECURITY ADDRESS 33 S. State Street, 9th Floor Chicago, Illinois 60603 33 S. State Street, 9th Floor Chicago, Illinois 60603 ________________________________________________ (Employer) ________________________________________ _____________________________________ Dated ____________________________, ________ ______________________________________ Clerk of Court DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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