Free CCJP0664 - Illinois

(Rev. 7/17/01) CCJP 0664 STATE OF ILLINOIS COUNTY OF COOK

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4383

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

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Minor(s)

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NO. ___________________________________

ORDER FOR RELEASE OF EDUCATIONAL RECORDS
THIS MATTER COMING on to be heard before the Honorable __________________________________, Calendar _____________, the parties being present and /or represented by counsel, and the Court being fully advise in the premises;

IT IS HEREBY ORDERED that ___________________________________ School release immediately to the Office of the Public Guardian and ___________________________________________ a copy of all records of the above named minor(s) including but not limited to, Educational Tests, Physical Exam Records, Social History, IEP Report(s), MDC Reports, Psychological Testing, Psychiatric Examination Report, Discharge Summary and School Transcripts.

Atty. No.: _________________ Name: _______________________________________ Atty. for: _______________________________________ Address: _____________________________________ City/State/Zip: ____________________________________ Telephone: ____________________________________ ENTER:

__________________________________, _________

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JUDGE: JUDGE'S NO.

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