Free CCJP 0616 3-25-09.pmd - Illinois

Order to Amend Identifying Information on Petition for Adjudication of Wardship

(Rev. 3/25/09) CCJP 0616 4205

STATE OF ILLINOIS COUNTY OF COOK

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IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION CHILD PROTECTION DIVISION IN THE INTEREST OF

_________________________________________________
Minor(s)

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No. ___________________________

ORDER TO AMEND IDENTIFYING INFORMATION ON PETITION FOR ADJUDICATION OF WARDSHIP THIS CAUSE coming to be heard, the court having jurisdiction over the parties and being fully advised in the premises: IT IS ORDERED that the Petition for Adjudication of Wardship is amended as follows: A. The Minor 1. was born on

________________________, _________;

2. now resides or may be found in this County at ________________________________________

____________________________, Illinois ____________;
3. is named _______________________________________. B. The names and residence addresses of the minor's parents, legal guardian, custodian and nearest known relatives are:

Name

Residence Address

City/State/Zip

Father: _________________________________________________________________________________ Mother: _________________________________________________________________________________

_________________________________________________________________ Custodian: ______________________________________________________________________ Nearest known relative: _____________________________________________________________
Legal Guardian: C. The minor was . 1. not taken into protective custody. 2. taken into protective custody on __________________, ________, at

___________

(a.m./p.m.)

D. A Temporary Custody hearing has been set for _____________________, ________, at ___________ (a.m./p.m.) E. Family Folder Number F.

______________________. DCFS MARS/CYSIS Number _________________.
ENTERED: _____________________________________ JUDGE JUDGE'S NO.

DATED: ____________________, ________

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