CIRCUIT COURT OF ILLINOIS NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY Independent Criminal Juvenile Petitioner on behalf of: a minor child, or an adult who because of age, disability, health, or inaccessibility cannot file the Petition (name(s) listed below) (file stamp) Name(s) of additional Petitioner(s) vs. Case Number: Respondent’s Name (to be completed by Court) DOB Address for Service SUMMONS - CIVIL NO CONTACT ORDER 740 ILCS 22/101 YOU ARE SUMMONED and required to file an answer in this case, or otherwise file your appearance in , located at the Lake County Courthouse, the: Office of the Clerk of this Court, Room 18 N. County Street, Waukegan, Illinois within 7 days after the service of this summons, not counting the day of service. IF YOU FAIL TO DO SO, A CIVIL NO CONTACT ORDER MAY BE ENTERED AGAINST YOU BY DEFAULT FOR THE RELIEF ASKED IN THE PETITION. Time Hearing Date: m. Courtroom: To the Officer: The Officer, or other person to whom it was given for service, with endorsement of service immediately following service, must return this summons. If service cannot be made, this summons shall be returned so endorsed. This summons may not be served later than 30 days after its date. Petitioner’s Attorney or Petitioner if not represented by an attorney DATED Name: Telephone Number: Clerk of the Circuit Court Address: City/State/Zip: Deputy Clerk Page 1 of 2 – Summons - Civil No Contact Order American LegalNet, Inc. www.USCourtForms.com 171- (12/04) SERVICE I certify that I served this Summons on the Respondent as follows: (Check appropriate box, and complete information below) Individual Respondent – Personal By leaving a copy and a copy of the Petition with named Respondent personally on . (Name of Respondent) (Date Served) Individual Respondent – Abode By leaving a copy and a copy of the Petition at the usual place of abode of named Respondent with a person of his family, of the age of 13 years or upwards, informing that person of the contents and also sending a copy of the Summons in a sealed envelope with postage fully prepaid, addressed to named Respondent at his usual place of abode. Name of Respondent Time Date of Service Name of Person Summons given to Sex: Male Female Race Approximate Age Date of Mailing Place of Service Respondent not found in this County. Sheriff By Deputy Date Page 2 of 2 – Summons - Civil No Contact Order American LegalNet, Inc. www.USCourtForms.com 171- (12/04)