STATE OF ILLINOIS HUMAN RIGHTS COMMISSION IN THE MATTER OF : Complainant, and Respondent. ) ) ) ) ) ) ) ) ) ) MOTION CHARGE NO (S): EEOC / HUD NO (S): ALS NO (S): I, ___________________________________________________________, am requesting the following relief (write in what you want to be ordered): In support of my request, I state as follows (write in why you think you should get what you are asking for): ________________________________________ (SIGNATURE) PRINT NAME: ADDRESS: CITY/STATE/ZIP: TELEPHONE: American LegalNet, Inc. www.FormsWorkFlow.com