(10/9/02) CCG 0020 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ___________________________________________________ } No. _____________________________ v. ___________________________________________________ FEE EXEMPTION COVER SHEET In order to ensure the proper collection of fees, a Fee Exemption Cover Sheet shall be filed with the initial pleading by a party in all civil actions filed by a unit of local government wherein such agency seeks a fee exemption. The information contained herein is for administrative purposes only and cannot be introduced into evidence. Please mark the classification exempting the agency filing this action from statutory fees, and sign the cover sheet as indicated on the reverse side. Exemptions pursuant to 705 ILCS 105/27.2 and 705 ILCS 105/27.2a: ! ! U.S. Attorney ! ! Municipal Police ! ! Cook County State’s Attorney ! ! METRA Police ! ! Illinois Department of Corrections Cook County Forest Preserve Police Illinois State Police ! ! ! Cook County Sheriff ! University/College Police Illinois Attorney General City of Chicago (Housing) CTA Police CHA Police Park District Police Other agencies/case types exempt from fees: ! ! Special needs adoptions ! ! The Illinois Department of Revenue under 35 ILCS 5/1106 ! ! School officers, school corporations or any agents of any school funds under 105 ILCS 5/22-3 ! Appointment of a guardian under 755 ILCS 5/11-11 (proper expenditure of public assistance; collection, disbursement or administering of money or assets derived from money awarded by the Veteran’s Administration; minor patient in a State mental health or developmental disabilities facility, estate value less than $1,000) (Please See Reverse Side for Additional Agencies) The Director of the Department of Insurance under 215 ILCS 5/203 The Illinois Department of Revenue under 35 ILCS 520/20 Any action instituted under 65 ILCS 5/11-31-1 by a private owner or tenant of real property DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (10/9/02) CCG 0020 B ! Appointment of a guardian under 755 ILCS 5/11a-13 (estate of mentally disabled person residing in a state mental health or developmental disabilities facility, estate value less than $1,000; Office of the State Guardian) ! Claimants in proceedings under the Unemployment Insurance Act, 820 ILCS 405/1200 ! An action under 35 ILCS 200/22-35 for reimbursement of a municipality before issuance of a tax deed The following units of local government receive reduced fees as outlined in 705 ILCS 105/27.2; each agency is eligible for a fee exemption if the action filed falls within the agency’s “duty to maintain public order and to enforce criminal laws or ordinances:” ! Cook County ! Conservation District ! ! City of Chicago METRA Municipality/Township ! ! ! Road District ! CTA ! Fire Protection District ! Chicago Board of Education ! ! Park District ! ! Chicago Housing Authority ! ! Mosquito Abatement District ! ! Department of Public Works ! ! Airport Authority ! ! Library District ! Hospital District ! Other __________________________________________________________________________________ Cook County Forest Preserve Public Health District City Colleges of Chicago PACE Department of Children and Family Services (DCFS) School District Metropolitan Water Reclamation District (Name of Agency) By: ________________________________________ ( _______________________________________), (Signature) (Printed Name) ___________________________________________, __________________________________________, (Affiliation with Agency) (Title if with Agency, Attorney, etc.) on behalf of ________________________________________________________________________________ (Agency) and the Agency Head (Director, CEO, etc.), _________________________________________________________. (Printed Name) Your Attorney Code: ___________________ Your Telephone No.: (__________) __________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form