Print Form Notice of Appeal Clear Form (8/13/08) CCG 0256 APPEAL TO THE APPELLATE COURT OF ILLINOIS FROM THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS __________________ DEPARTMENT, ____________________ DIVISION/DISTRICT ___________________ DEPARTMENT, __________________________ DIVISION/DIST ________________________________________________ Plaintiff/ Appell _____ v. ________________________________________________ Defendant/ Appell _____ } Reviewing Court No. _____________________ Circuit Court No. _________________________ NOTICE OF APPEAL (Check if applicable. See Ill. Sup. Ct. Rule 303(a)(3).) ‰ Joining Prior Appeal ‰ Separate Appeal ‰ Cross Appeal Appellant’s Name: _______________________________________________________________________________ Appellant’s Attorney (if applicable): ________________________________________________________________ Address: _____________________________________________________________________________________________ City/State/Zip: _______________________________________________________________________________________ Telephone Number: _______________________________________________________________________________________ ‰ Cook County Attorney Code: _________________ or ‰ Pro se 99500 (Choose one) Appellee’s Name: __________________________________________________________________________________ Appellee’s Attorney (if applicable): __________________________________________________________________________ Address: _____________________________________________________________________________________________ City/State/Zip: ________________________________________________________________________________________ Telephone Number: ______________________________________________________________________________________ ‰ Cook County Attorney Code: _________________ or ‰ Pro se 99500 (Choose one) An appeal is taken from the order or judgment described below: Date of the judgment/order being appealed: ____________________________ Name of judge who entered the judgment/order being appealed: _________________________________________________ Relief sought from Reviewing Court: ________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ I understand that a “Request for Preparation of Record on Appeal” form (CCA 0025) must be completed and the initial payment of $110 made prior to the preparation of the Record on Appeal. The Clerk’s Office will not begin preparation of the ROA until the Request form and payment are received. Failure to request preparation of the ROA in a timely manner, i.e., at least 30 days before the ROA is due to the Appellate Court, may require the Appellant to file a request for extension of time with the Appellate Court. A “Request for Preparation of Supplemental Record on Appeal” form (CCA 0023) must be completed prior to the preparation of the Supplemental ROA. ________________________________________ (To be signed by the Appellant or Appellant’s Attorney) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS