Print Form Clear Form Motion to Use Pseudonym IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY BUREAU, COUNTY DIVISION IN RE: THE MOTION OF (7/29/09) CCCO 0048 No. ________________________________ __________________________________________, A Minor TO OBTAIN A JUDICIAL ORDER TO USE A PSEUDONYM TO FILE A PETITION WAIVING THE REQUIREMENT OF NOTICE TO MY ADULT FAMILY MEMBERS OF MY INTENT TO OBTAIN AN ABORTION CONFIDENTIAL FILED UNDER SEAL MOTION TO USE PSEUDONYM IF REPRESENTED BY AN ATTORNEY; (PLEASE COMPLETE) Atty. No.: ______________ _____________________________________ Atty. Address: ___________________________________ City/State/Zip: ___________________________________ Telephone: ______________________________________ Atty. Name: CLERK OF THE CIRCUIT COURT OF COOK COUNTY SECTION ONLY For Clerk of the Circuit Court of Cook County Use Only Business Day Filed Ruling must be no later than: ________________ Time of filing: ________________ Managers Signature: _______________________ Date of filing: ________________ Time: ________________ Managers Signature: _______________________ Date: DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS