3134 (Rev. 06/08) COMPLAINT FOR ADMINISTRATIVE REVIEW - TOLL HIGHWAY STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT COUNTY OF DU PAGE CASE NUMBER PLAINTIFF vs The Illinois State Toll Highway Authority DEFENDANT COMPLAINT FOR ADMINISTRATIVE REVIEW Now comes the Plaintiff File Stamp Here who states that: 1. The Plaintiff resides at 2. The Defendant's principal place of business is located at 2700 Ogden Avenue, Downers Grove, Illinois 60515. 3. On , a final administrative decision was rendered by the Illinois State Toll Highway Authority affecting the rights of the Plaintiff. 4. The Plaintiff desires a judicial review of said decision, a copy of which is attached hereto as Exhibit 1, because such decision is not in accordance with the law. 5. The Illinois State Toll Highway Authority is hereby requested to file an answer consisting of the record of the proceedings held before and administrative agency. 6. The Plaintiff has exhausted all available administrative remedies under 625 ILCS 5/CH 18c Sub 2 Art II 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. Under the penalties as provided by law pursuant to Section 735 ILCS 5/1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct. Date Name: Signature of the Plaintiff PRO SE The filing fee for this type of case is $277.00. DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: You will NOT be able to present any evidence to the Court. The Administrative Review consists of the Court reviewing the record of the hearing held before the Administrative Agency. The Illinois Toll Highway Authority has 35 days to answer your complaint after receiving the summons from the Circuit Court Clerk. CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.FormsWorkflow.com