COURT COUNTY OF(Rev. 6/14/01) CCJP 0665. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION CHILD PROTECTION DIVISIONCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)REQUEST FOR CHILD PROTECTION WARRANTDOCKET/WARRANT NUMBER DATE TO THE CLERK OF THE COURT: I have requested a Child Protection Warrant in the interests of:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NAME SEX RACEAGE THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableHEIGHT WEIGHT DATE OF BIRTH // RESIDENCE APT./FLR. # SCHOOL OR EMPLOYMENT TEMPORARY CUSTODIAN'S NAME ADDRESS TELEPHONE () MOTHER'S NAME ,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomADDRESS TELEPHONE () FATHER'S NAME ADDRESS TELEPHONE () REQUESTER AGENCYYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theTELEPHONE () PETITION CHARGES ADDITIONAL INFORMATION Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forDESTINATION: IDCFS OTHER (APPLICABLE ONLY IF TAKEN INTO CUSTODY WHEN COURT IS NOT IN SESSION) RETURN COURT DATE(S) JUDGE CALENDAR CPD YD# NAMEOffice and P.O. Address(IF APPLICABLE)NO.BY ORDER OF:Telephone No.: Facsimile No.: E-Mail Address:PRESIDING JUDGE, CHILD PROTECTION DIVISIONMobile Tel. No.:DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOISRev. 7/95American LegalNet, Inc. www.USCourtForms.com