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Administrative Review Cover Sheet CCM 0142 - Illinois
| Administrative Review Cover Sheet Form. This is a Illinois form and can be used in Civil Cook Local County . |
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Print Form Clear Form Administrative Review Cover Sheet IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS FIRST MUNICIPAL DISTRICT (4/07/09) CCM 0142 _________________________________________________ Plaintiff v. _________________________________________________ Defendant } No. _______________________________________ ADMINISTRATIVE REVIEW COVER SHEET A Civil Action Cover Sheet shall be filed 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 characterizes your action. Non-Parking Parking 1281/0088 Ordinance Violation Animal Care & Control (AC) Buildings Nuisance (BN) Buildings Standard (BS) Buildings Target (BT) Chicago Police (CP) 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 & Sanitation (VP) Wage Garnishment (WD) Atty. No.: ________________ Name: _______________________________________________ Atty. for: ________________________________________ Address: ___________________________________________ City/State/Zip: ___________________________________ Telephone: ________________________________________ 1280/1210 Parking Tickets Ticketing Agent Issued Tickets (90) Police Officer Issued Tickets (00) Red Light Camera Ticket (700) Boot, Tow and Pre-seizure Cases (license Plate # ) Post-Tow (PT) By: ________________________________________ Attorney Pro Se DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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