Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 1 of 2 Complaint for Illinois Administrative Review - Chancery þ (10/12/18) CCCH 0143 A en-USIN THE CIRCUIT COURT OF COOK COUNTY, ILLINOISen-USCOUNTY DEPARTMENT, CHANCERY DIVISION en-USPlaintiff(s)en-USv.en-USCook County Department of Administrative Hearings anden-USCook County Departmenten-USof en-US and (Insert name of issuing department) en-US , and en-US(Insert names of additional parties) þ Defendant(s) Case No. þ en-USen-USen-USAdministrative Agency Docket Number en-USProperty Address, if applicableen-USCOMPLAINT FOR ILLINOIS ADMINISTRATIVE REVIEW The Plaintiff(s), þ en-USen-USpursuant to 735 ILCS 5/3-101 et seq., complains to Defendant(s), the Cook County Department of en-USAdministrative Hearings, en-US and en-US as follows: (Insert names of additional parties) 1. The Plaintiff(s) reside(s) at en-US . 2. On þ en-USen-US(223Decision224) was issued by the Cook County Department of Administrative Hearings. 3. en-USThe Plaintiff(s) desire(s) a judicial review of the Decision, a copy of which is attached as Exhibiten-US1, because it is not in accordance with the law. 4. en-USen-USconsisting of the administrative record of the proceeding resulting in the Decision. 5. en-USThe Plaintiff(s) has/have exhausted all available remedies under the Administrative Review Lawen-USand has no further plain, speedy, adequate remedy under the law. Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 2 of 2en-USWHEREFORE, the Plaintiff(s) request(s) that the record be judicially reviewed.en-US(Please print) Name: þ þ Plaintiff(s) Signature Address: þ en-US City: þ þ State: þ þ Zip: þ en-US Phone: þ en-US Email: þ en-US Complaint for Illinois Administrative Review - Chancery þ (10/12/18) CCCH 0143 B