Fill and Sign the Complaint for Administrative Review Filed October 14 Village of Lisle Form

Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinois cookcountyclerkofcourt.org Page 1 of 2 Pro Se Complaint for Illinois Administrative Review (10/10/18) CCG 0125 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS PRO SE COMPLAINT FOR ILLINOIS ADMINISTRATIVE REVIEW Plaintiff v. Defendant Case No. _______________ Illinois State Toll Highway Authority, Village of _______________________________________ Department of Administrative Hearings _______________________________ Department Now comes the Plaintiff _____________________________________________ pursuant to 735 ILCS 5/3-101 et al., complaints of the Village of __________________________________ , Defendant, 1. Plaintiff resides at 2. On ___________ , a final administrative decision was rendered by the Village of _______________________________________ affecting the rights of the Plaintiff. 3. The Plaintiff desires a judicial review of said decision, a copy of which is attached hereto as Exhibit 1, because said decision is not in accordance with the la w. 4. The Village of __________________________________ is hereby requested to file an answer consisting of the record of proceedings had before the said administrative agency. 5. The Plaintiff has exhausted all available administrative remedies under the Act and has no further plain, speedy, or adequate remedy in the ordinary course of law. Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinois cookcountyclerkofcourt.org Page 2 of 2 Pro Se Complaint for Illinois Administrative Review (10/10/18) CCG 0125 B WHEREFORE, the Plaintiff prays that said record be judicially reviewed. Name: Address: City: ____________________________ State: ____ Zip: ________ Telephone: ________________________ Email: Plaintiff - Pro Se