Print Form Order to Amend Identifying Information on Petition for Adjudication of Wardship Clear Form (Rev. 5/03/11) CCJP 0616 5493 STATE OF ILLINOIS COUNTY OF COOK ss: IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION CHILD PROTECTION DIVISION IN THE INTEREST OF No. ___________________________ ________________________________________________ Minor(s) ORDER TO AMEND IDENTIFYING INFORMATION ON PETITION FOR ADJUDICATION OF WARDSHIP THIS CAUSE coming to be heard, the court having jurisdiction over the parties and being fully advised in the premises: 4205 IT IS ORDERED that the Petition for Adjudication of Wardship is amended as follows: A. The Minor 1. was born on ________________________, _________; 2. now resides or may be found in this County at ________________________________________ ____________________________, Illinois ____________; 8810 3. is named _______________________________________. B. The names and residence addresses of the minor's parents, legal guardian, custodian and nearest known relatives are: Name Residence Address City/State/Zip Father: _________________________________________________________________________________ Mother: _________________________________________________________________________________ _________________________________________________________________ Custodian: ______________________________________________________________________ Nearest known relative: _____________________________________________________________ C. The minor was Legal Guardian: . 1. not taken into protective custody. 2. taken into protective custody on __________________, ________, at ___________ (a.m./p.m.) D. A Temporary Custody hearing has been set for _____________________, ________, at ___________ (a.m./p.m.) E. Family Folder Number ______________________. F. DCFS MARS/CYSIS Number _________________. ENTERED: _____________________________________ JUDGE JUDGE'S NO. DATED: ____________________, ________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS