Free CJP-0630 - Illinois

This form replaces CCJP 0631-B

(Rev. 1/25/01) CCJP 0630

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

1127 STATE OF ILLINOIS COUNTY OF COOK

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No. ________________________________

VERIFICATION
I, ______________________________________ being first duly sworn on oath, depose and state that I am (an employee of the Illinois Department of Children and Family Services/ _________________________________

____________________________________ ), that I have read the foregoing Petition and am familiar with the
contents and allegations contained therein and that, to the best of my knowledge and belief, the allegations are true and correct.

______________________________________________
(print name)

__________________________________________
(signature)

Subscribed to and Sworn to before me on this ________ day of ____________________________, ________

___________________________________________
Notary Public or Deputy Clerk of the Court (ext. / ID#: ________________ )

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