Free CCG 0026 10-22-07.pmd - Illinois

Record Search Request Form

(Rev. 10/22/07) CCG 0026 A

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Richard J. Daley Center 50 W. Washington Street Chicago, Illinois 60602 (312) 603-5030 Hours: 8:30 a.m. - 4:30 p.m.

Record Search Request Form
Please complete the form below to request copies of records maintained by the Office of the Clerk of the Circuit Court of Cook County. Pursuant to State law and County Ordinance, you will be required to pay statutory fees in advance of the records being provided to you. These fees include (1) record search fee(s) of $9.00 per year searched; (2) copying fees of $2.00 for the first page, $.50 each for pages 2-19, and $.25 each for the remaining pages; (3) certification fees of $9.00 per certification, if certification is requested (certification of entire file is one certification stamp and one $ 9.00 fee); and (4) mailing fee of $15.00 plus the cost of postage. 705 ILCS 105/27.2a.1 Only include payment of $9.00 record search fee at this time. If request is by mail, payment may be made by check or money order, payable to the Clerk of the Circuit Court. Please include on the face of your check or money order all of the following: Driver's License Number, Telephone Number and Case or Ticket Number. DO NOT MAIL CASH. At the conclusion of the search, a Deputy Clerk will notify you of the remainder due. FULL PAYMENT FOR THE SEARCH IS DUE AT THE CONCLUSION OF THE SEARCH, as well as payment for any regular or certified copies and mailing fee, if any. If payment is not received, you will be billed for this amount.
PLEASE COMPLETE ALL KNOWN INFORMATION:

Case Number: _________________________________________________________________________________ Division/Department/District where case was filed: ____________________________________________________ Name of Plaintiff(s): ___________________________________________________________________________ Name of Defendant(s): _________________________________________________________________________ Filing Date: __________________________________ Disposition Date: __________________________________ Years to be searched: __________________________________________________________________________
PLEASE COMPLETE ALL INFORMATION

Regular Copy or

Certified Copy requested of the following document(s):

Entire File, or

______________________________________________________________________________________ __________________________________________ Your Telephone #: (________) ________________________ Your Name: __________________________________________________________________________________ Your Address: ________________________________________________________________________________ Your Signature: _____________________________________ Dated: ________________________, __________

INTERNAL OFFICE USE ONLY
# of Additional Years Searched: _________ # of Regular Copies: _________ # of Certified Copies: _________

Instruct customer to proceed to Cashier for payment, or telephone customer with remaining amount due.
1 Fees subject to change by State law or County Ordinance. If you pick-up your documents in person, you will not be charged the $15.00 mailing fee. If you perform the search yourself using the public access terminal located in each Division or by looking in case files, you will not be charged the record search fee. (OVER)