Print Form Pro Se Complaint For Illinois Administrative Review Clear Form (4/11/06) CCG 0125 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS _____________________________________________________ Plaintiff v. _____________________________________________________ Defendant Illinois State Toll Highway Authority, } No. _________________________________ Village of __________________________________________ Department of Administrative Hearings ____________________ Department PRO SE COMPLAINT FOR ILLINOIS ADMINISTRATIVE REVIEW Now comes the Plaintiff _____________________________________________ pursuant to 735 ILCS 5/3-101 et al., complaints of the Village of ____________________________________________________________ Defendant, 1. Plaintiff resides at __________________________________________________________________________________ 2. On _________________________________________________, a final administrative decision was rendered by the Village of ________________________________________________ affecting the rights of the Plaintiff. 3. The Plaintiff desires a judicial review of said decision, a copy of which is attached hereto as Exhibit 1, because said decision is not in accordance with the law. 4. The Village of _______________________________________________________ is hereby requested to file an answer consisting of the record of proceedings had before the said administrative agency. 5. The Plaintiff has exhausted all available administrative remedies under the Act and has no further plain, speedy, or adequate remedy in the ordinary course of law. WHEREFORE, the Plaintiff prays that said record be judicially reviewed. Name: ______________________________________________ Address: ____________________________________________________ City/State/Zip: _______________________________________ __________________________________________ Plaintiff-Pro Se Telephone: __________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS