Administrative Review Cover Sheet (5/27/16) CCM 0142 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS FIRST MUNICIPAL, CIVIL DIVISION ___________________________________________________ Plaintiff v. No._______________________________________ ___________________________________________________ Defendant ADMINISTRATIVE REVIEW COVER SHEET An Administrative Review 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 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 and Sanitation (VP) Wage Garnishment (WD) By: _______________________ Atty. No.: ________________ Pro Se 99500 Name: ____________________________________ Atty. for: __________________________________ Address: ___________________________________ City/State/Zip: ______________________________ Telephone: _________________________________ Primary Email: ______________________________ Secondary Email: ____________________________ Tertiary Email: ______________________________ 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) Pro Se Only: I have read and agree to the terms of the Clerk's Office Electronic Notice Policy and choose to opt in to electronic notice from the Clerk's office for this case at this email address: ___________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Page 1 of 1