Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 1 of 1 Statement of Employment þ (02/15/19) CCCR 0113 en-USIN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT, þ en-US DISTRICT/DIVISIONen-USSTATEMENT OF EMPLOYMENT (Ien-USncludesen-US Sen-USelfen-US-Een-USmployeden-US en-USanden-US Ten-USemporaryen-US Aen-USgencyen-US Wen-USorken-US) PEOPLE OF THE STATE OF ILLINOIS en-USor en-USA Municipal Corporationen-USv. en-USDefendant/Petitioner Case No: þ en-USI presently work at the following company: 1. Place of employment: 2. Address: 3. Length of employment: þ þ Hours of employment: þ en-US 4. Supervisor Name & Phone number: en-USSTATEMENT OF SCHOOL ATTENDANCE en-USI presently attend the following school: 1. Name of School: 2. Address: 3. Days Attended: þ þ Start Time: þ þ Finish Time: þ en-US Atty. No.: þ en-US Name: þ þ Atty for: þ þ Address: þ þ City, State, Zip: þ þ Phone: þ en-US Primary Email: þ þ Sign name: þ Sign name: þ Print name þ Print name þ Address: þ þ City, State, Zip: þ Phone: þ en-US Primary Email: þ þ