Print Form Clear Form (Rev. 6/11/02) CCG 0685 TRANSFER OUT OF COOK COUNTY REQUEST FORM 1. ARE YOU THE ATTORNEY FOR THE PLEASE CIRCLE ONE. PLAINTIFF OR DEFENDANT? 2. DATE OF ORDER TRANSFERRING CAUSE OUT OF COOK COUNTY. ____________________________________________________________________________________________ 3. WAS THE ORDER GRANTING THE TRANSFER BASED ON NON CONVENIENS? PLEASE CIRCLE ONE. WRONG VENUE OR FORUM 4. NAME OF THE ATTORNEY WHO WILL BE HANDLING THE TRANSFER. ____________________________________________________________________________________________ 5. NAME OF THE FIRM THE CHECK WILL BE ISSUED FROM. ____________________________________________________________________________________________ 6. COUNTY TO WHICH THE CASE IS BEING TRANSFERRED. ____________________________________________________________________________________________ 7. ADDRESS, SUITE OR ROOM NUMBER, AND ZIP CODE OF ATTORNEY HANDLING THE TRANSFER. ____________________________________________________________________________________________ 8. TELEPHONE NUMBER OF THE ATTORNEY HANDLING THE TRANSFER. ____________________________________________________________________________________________ 9. WHOM DO WE CALL WHEN WE NEED THE CHECKS? ____________________________________________________________________________________________ 10. CAPTION OF THE CASE AND CASE NUMBER. ____________________________________________________________________________________________ 11. NAME OF PERSON NOTIFIED WHEN COMPLETED. ____________________________________________________________________________________________ 12. DATE OF NOTIFICATION. ____________________________________________________________________________________________ 13. DATE CHECKS RECEIVED. ____________________________________________________________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS