(Rev. 5/27/15) IHRC 002 STATE OF ILLINOIS HUMAN RIGHTS COMMISSION IN THE MATTER OF: ) ) ) ) ) ) ) ) ) ) ) ________________________________________ Complainant(s), and _________________________________________ Respondent(s). CHARGE NO.: ______________________ EEOC / HUD NO.: ____________________ ALS NO.: ___________________________ MOTION FOR VOLUNTARY DISMISSAL Complainant hereby moves to dismiss, with prejudice, the Complaint in the above-captioned matter and the underlying charge filed with Illinois Department of Human Rights. This Motion is being made of Complainant's own free will, without pressure from any organization or individual. _______________________________________ Attorney for Complainant and/or _______________________________________ Complainant _______________________________________ Signature _______________________________________ Signature _______________________________________ Date _______________________________________ Date PROOF OF SERVICE I certify that I have sent a copy of this motion to Respondent at the address disclosed by the pleadings and to the Department of Human Rights, 100 West Randolph Street, Suite 10-100, Chicago, IL 60601, on ___________________________, 20____. _______________________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com TO ILLINOIS DEPARTMENT OF HUMAN RIGHTS IN THE MATTER OF: ) ) ) ) ) ) ) ) ) ) ) ________________________________________ Complainant(s), and _________________________________________ Respondent(s). CHARGE NO.: ______________________ EEOC / HUD NO.: ____________________ ALS NO.: ___________________________ NOTICE Be advised that the Motion for Voluntary Dismissal or Stipulation to Dismiss filed in this matter with the Illinois Human Rights Commission has been initiated because: ( ) Complainant has withdrawn the charge without settlement between the parties. ( ) The parties have reached an outside settlement agreement. ( ) The terms of the settlement are confidential, including any dollar amounts. ( ) The monetary portion of this settlement is $__________________. (Please note: This information will be used for statistical purposes only.) Submitted by: _______________________________________ Attorney for Complainant and/or _______________________________________ Complainant _______________________________________ Signature _______________________________________ Signature _______________________________________ Date Instructions: _______________________________________ Date This notice is not required by law however, you are requested and urged to fill it out at this time. This information is requested by the Illinois Department of Human Rights in order to administratively complete the closure of their files. American LegalNet, Inc. www.FormsWorkFlow.com