Notice Of Entry Of Order Protection-Schools-Day Care Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Entry Of Order Protection-Schools-Day Care Form. This is a Illinois form and can be use in Lake Local County.
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Tags: Notice Of Entry Of Order Protection-Schools-Day Care, Illinois Local County, Lake
IN THE CIRCUIT COURT OF THE NINETEENTH
JUDICIAL CIRCUIT, LAKE COUNTY, ILLINOIS
______________________________
Petitioner,
vs.
______________________________
Respondent.
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Gen. No.
NOTICE OF ENTRY OF ORDER OF PROTECTION
(School/Day Care Facility Records)
TO: ____________________________________
(Name of School/ Day Care facility)
____________________________________
(Address)
____________________________________
(City)
(State)
(Zip)
PLEASE TAKE NOTICE pursuant to 750 ILCS 60/222 (e) that an Order of
Protection, a certified copy of which is attached hereto, has been entered this date
in the Circuit Court of Lake County, Illinois.
Pursuant to 750 ILCS 60/222 (f) access to a protected child’s school/day care
facility records or release of information in those records by the above school/day
care facility, or its employees, to the respondent is prohibited. The school/
school/day care facility shall file a copy of the order of protection in the records of
each protected child.
DATED: This ___________ day of _____________________, 20____.
Proof of Service
Under penalties of perjury pursuant to 735 ILCS 5/1-109, the undersigned certifies that on
_______________________________, this Notice and aforesaid document were served by
mailing a copy to each person to whom it is directed, postage prepaid, in a U.S. Mailbox in
Waukegan, Illinois.
(Seal of the Circuit Court)
____________________________
Clerk of the Circuit Court
Lake County, Illinois
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