JURY WAIVER IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS MUNICIPAL DEPARTMENT, ___________ DISTRICT (Rev. 1/2/01) CCG 0678 ________________________________________________ ________________________________________________ ________________________________________________ vs. ________________________________________________ ________________________________________________ ________________________________________________ No. _________________________________ I, the undersigned do hereby waive jury trial and submit the above entitled cause to the Court for hearing. Dated: _____________________________, _________ Signed _______________________________________ 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