Free CCG0020 - Illinois

(10/9/02) CCG 0020 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

___________________________________________________
v.

___________________________________________________

}

No. _____________________________

FEE EXEMPTION COVER SHEET
In order to ensure the proper collection of fees, a Fee Exemption Cover Sheet shall be filed with the initial pleading by a party in all civil actions filed by a unit of local government wherein such agency seeks a fee exemption. The information contained herein is for administrative purposes only and cannot be introduced into evidence. Please mark the classification exempting the agency filing this action from statutory fees, and sign the cover sheet as indicated on the reverse side.

Exemptions pursuant to 705 ILCS 105/27.2 and 705 ILCS 105/27.2a:

! ! ! ! ! ! ! ! ! ! ! ! ! !

U.S. Attorney Illinois Attorney General Cook County State's Attorney City of Chicago (Housing) Illinois Department of Corrections Illinois State Police Cook County Sheriff

! ! ! ! ! ! !

Municipal Police CTA Police METRA Police CHA Police Cook County Forest Preserve Police Park District Police University/College Police

Other agencies/case types exempt from fees:
Special needs adoptions The Director of the Department of Insurance under 215 ILCS 5/203 The Illinois Department of Revenue under 35 ILCS 5/1106 The Illinois Department of Revenue under 35 ILCS 520/20 School officers, school corporations or any agents of any school funds under 105 ILCS 5/22-3 Any action instituted under 65 ILCS 5/11-31-1 by a private owner or tenant of real property Appointment of a guardian under 755 ILCS 5/11-11 (proper expenditure of public assistance; collection, disbursement or administering of money or assets derived from money awarded by the Veteran's Administration; minor patient in a State mental health or developmental disabilities facility, estate value less than $1,000) (Please See Reverse Side for Additional Agencies) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

(10/9/02) CCG 0020 B

! ! !

Appointment of a guardian under 755 ILCS 5/11a-13 (estate of mentally disabled person residing in a state mental health or developmental disabilities facility, estate value less than $1,000; Office of the State Guardian) Claimants in proceedings under the Unemployment Insurance Act, 820 ILCS 405/1200 An action under 35 ILCS 200/22-35 for reimbursement of a municipality before issuance of a tax deed

The following units of local government receive reduced fees as outlined in 705 ILCS 105/27.2; each agency is eligible for a fee exemption if the action filed falls within the agency's "duty to maintain public order and to enforce criminal laws or ordinances:"

! ! ! ! ! ! ! ! ! ! ! ! !

Cook County City of Chicago Municipality/Township Road District Fire Protection District Park District Cook County Forest Preserve Mosquito Abatement District Public Health District Airport Authority City Colleges of Chicago Hospital District

! ! ! ! ! ! ! ! ! ! !

Conservation District METRA PACE CTA Chicago Board of Education Chicago Housing Authority Department of Children and Family Services (DCFS) Department of Public Works School District Library District Metropolitan Water Reclamation District

Other __________________________________________________________________________________
(Name of Agency)

By: ________________________________________
(Signature)

( _______________________________________),
(Printed Name)

___________________________________________,
(Affiliation with Agency)

__________________________________________,
(Title if with Agency, Attorney, etc.)

on behalf of ________________________________________________________________________________
(Agency)

and the Agency Head (Director, CEO, etc.), _________________________________________________________.
(Printed Name)

Your Attorney Code: ___________________ Your Telephone No.: (__________) __________________________

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS