Free CCG 0084 4-28-09.pmd - Illinois

Order to Notify the Illinois State Police of an Adjudication Affecting FOID Status

(4/28/09) CCG 0084

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS CRIMINAL DIVISION
PEOPLE OF THE STATE OF ILLINOIS

v.

____________________________________________________
Defendant

}

Case No.

___________________________

ORDER TO NOTIFY THE ILLINOIS STATE POLICE OF AN ADJUDICATION AFFECTING FOID STATUS
This court, having previously found that: The above named person is not guilty in a criminal case by reason of insanity, mental disease or defect. 430 ILCS 65/1.1(3) The above named person is incompetent to stand trial in a criminal case. 430 ILCS 65/1.1(4) The above named person can be identified as follows:

Sex

Race

Height

Weight

Eye Color

DOB

DL

IR

CB/DCN

FBI

SID

IT IS HEREBY ORDERED that; Pursuant to 430 ILCS 65/8.1(b), the Clerk of the Circuit Court is directed to immediately notify the Department of State Police, Firearm Owner's Identification Department (FOID), that the above named person has been adjudicated as a mental defective, as defined in 430 ILCS 65/1.1, and shall forward a copy of this court order to the Department.

Prepared by: Atty. No.: __________________ Name: _________________________________________ Address: __________________________________ City/State/Zip: ________________________________ Telephone: _________________________________ Date: ______________________________, __________

________________________________________
Judge Judge's No.

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