Print Form Complaint for Illinois Administrative Review Clear Form (1/15/09) CCM 0140 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS FIRST MUNICIPAL DISTRICT __________________________________________________ No. _______________________________________ Plaintiff(s) v. City of Chicago Department of Administrative Hearings and ____________________________________________________ Administrative Agency Docket Number City of Chicago Department of _________________________, and (Insert name of issuing department) Property Address, if applicable __________________________________________________, and __________________________________________________ (Insert names of other parties) Defendant(s) ____________________________________________________ Court Room: 1111 Court time: 10:30 a.m. - Non Parking Appeals 2:00 p.m. - Parking and Non Parking Appeals COMPLAINT FOR ILLINOIS ADMINISTRATIVE REVIEW The Plaintiff(s), __________________________________________________________________ pursuant to 735 ILCS 5/3-101 et seq., complains to Defendant(s), the City of Chicago Department of Administrative Hearings, _________________________________________________________ and _________________________________________________________ as follows: 1. The Plaintiff(s) reside(s) at ______________________________________________________________________. 2. On ___________________________________, _________ a final administrative decision affecting the rights of the Plaintiff(s) (“Decision”) was issued by the City of Chicago Department of Administrative Hearings. 3. The Plaintiff(s) desire(s) a judicial review of the Decision, a copy of which is attached as Exhibit 1, because it is not in accordance with the law. 4. The City of Chicago Department of Administrative Hearings is requested to file an answer consisting of the administrative record of the proceeding resulting in the Decision. 5. The Plaintiff(s) has/have exhausted all available remedies under the Administrative Review Law and has no further plain, speedy, adequate remedy under the law. WHEREFORE, the Plaintiff(s) request(s) that the record be judicially reviewed. (Please print) Name: ____________________________________________ ________________________________________ Plaintiff(s) (Signature) Address: ______________________________________________________ City/State/ Zip:_________________________________________________ Telephone No. ______________________________________ License Plate No: ____________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS