Family Division Forms

Family Division Court Forms

	Emancipation of Minors
Child Support	Family Mediation
Dissolution of Marriage (Divorce)	Orders of Protection / Domestic Violence

Orders of Protection Forms for other Illinois Counties

Dissolution of Marriage (Divorce)

Description	Form Number	Revision Date
Petition for Dissolution of Marriage	174-CSR200	R 09/04
Dissolution Summons - Illinois Marriage and Dissolution of Marriage Act	171-223	04/98
Response to Petition for Dissolution of Marriage	174-CSR201	R 09/04
Appearance	171-8	R 08/06
Stipulation for Uncontested Hearing	171-345	12/04
Stipulation Waiving Two Year Statutory Period of Separation	171-163	R 12/04
Financial Affidavit 11.02	171-12 FD33	R 04/06
Order (Regarding Issues of Support)	174-CSR208	10/04
In Rem Judgment Order	174-CSR209	09/04
Judgment of Dissolution of Marriage	174-CSR210	R 04/06
Order of Default	174-CSR211	09/04
Family Division Case Management Order (Short Form)	171-328	R 12/06
Family Division Scheduling Order	171-359	04/06
Settlement Conference Memorandum w/Balance Sheet Supplement	171-182	R 04/08
Supplement to Settlement Conference Memo - Balance Sheet of Assets and Debts - MS Excel Template	171-182a	New

If children are involved
Joint Parenting Agreement	174-CSR202	R 04/06
Declaration Under Uniform Child Custody Jurisdiction Enforcement Act (UCCJEA)	171-145	R 12/04
Child Representation Order	171-344	R 04/06
Order for Visitation/Parenting Time	174-CSR212	R 04/06
Uniform Order for Support	171-195	R 08/06
Child Support Data Sheet (Last page of Uniform Order for Support)	171-192	R 09/04
Notice to Withhold Income for Support	171-60	R 09/04
Proof of Service of Notice to Withhold Income for Support	171-51	R 08/08
Petition to Contest Notice to Withhold Income	171-80	R 09/04
Order for Child Representative / Guardian Ad Litem (GAL) / Attorney for Child Fees	171-358	04/06

Other Related Forms for Divorce
Petition for Rule to Show Cause (Indirect Civil Contempt)	174-CSR214	09/05
Rule to Show Cause (Indirect Civil Contempt)	171-256	R 09/05
Affidavit of Service by U.S. Mail / Affidavit of Personal Service	171-257	R 04/06
Notice of Motion	171-91	02/00
Affidavit as to Military Service	171-342	R 12/04
Petition and Order to Sue or Defend as an Indigent Person	171-189	R 12/04
Quit Claim Deed (from Lake County Recorder of Deeds)	None	R 06/09
Qualified Medical Child Support Order	174-CSR217	09/06

Child Support

Description	Form Number	Revision Date
Joint Parenting Agreement	174-CSR202	R 04/06
Declaration Under Uniform Child Custody Jurisdiction Enforcement Act (UCCJEA)	171-145	R 12/04
Child Representation Order	171-344	R 04/06
Order for Visitation/Parenting Time	174-CSR212	R 04/06
Uniform Order for Support	171-195	R 08/06
Child Support Data Sheet (Last page of Uniform Order for Support)	171-192	R 09/04
Notice to Withhold Income for Support	171-60	R 09/04
Proof of Service of Notice to Withhold Income for Support	171-51	R 09/04
Petition to Contest Notice to Withhold Income	171-80	R 09/04
Motion to Terminate Support	171-221 FD12	R 04/06
Acknowledgement of Paternity	171-353	R 04/06

Petition to Suspend Drivers License	New	DRAFT
Order to Suspend Driving Privileges	New	DRAFT

Emancipation of Minors

Description	Form Number	Revision Date
Petition for the Emancipation of a Minor	New	01/08
Notice of Hearing for Emancipation of a Minor	New	01/08
Certification of Mailing of Notice of Hearing for Emancipation of a Minor	New	01/08
Order of Emancipation of a Minor	New	01/08
Certification of Mailing of Order of Emancipation of a Minor	New	01/08
Entry of Appearance - Waiver & Consent Emancipation of a Minor	New	01/08

Family Mediation

Description	Form Number	Revision Date
Petition for Certification as Court Approved Mediator	174-CSR213	R 12/11
Mediator's Status Report	171-327	R 08/10
Order of Referral to Mediation	171-329	R 07/08

Orders of Protection / Domestic Violence

Description	Form Number	Revision Date
Order of Protection Information Worksheet	None	06/03
Petition for Order of Protection - Lake	171-37	R 01/10
Emergency Order of Protection - Lake	171-288	R 01/10
Summons - Order of Protection	171-107a	R 07/03
Return of Service - Order of Protection	New	07/03
Interim / Plenary Order of Protection - Lake	171-289	R 01/10
Affidavit of Visitation Supervisor	New	07/03
Notice of Order of Protection to Local Law Enforcement	New	07/03
Notice of Order of Protection to School(s) / Day Care Facilities	New	07/03
Order - Extension, Modification, and Hearing on Petition for Order of Protection	171-42	R 07/03
Order with Statutory Findings Regarding Petition for Order of Protection	171-172	R 03/04
Uniform Order of Support - Lake		06/00

Civil No Contact Orders Forms for Lake County
Verified Petition for Civil No Contact Order	171-340	R 01/10
Summons - Civil No Contact Order	171-341	R 01/10
Civil No Contact Order	171-339	R 01/10
Motion to Extend and/or Modify Civil No Contact Order	171-384	R 01/10
Order for Extension &/or Modification of Civil No Contact Order	171-383	R 01/10

Stalking No Contact Orders Forms for Lake County
Verified Petition for Stalking No Contact Order	171-392	01/10
Summons - Stalking No Contact Order	171-393	01/10
Stalking No Contact Order	171-391	01/10
Motion to Extend and/or Modify Stalking No Contact Order	171-390	01/10
Order for Extension &/or Modification of Stalking No Contact Order	171-389	01/10

Orders of Protection Forms for other Illinois Counties
Verified Petition for Order of Protection	Assigned locally	R 12/09
Emergency Order of Protection	Assigned locally	R 12/09
Interim / Plenary Order of Protection	Assigned locally	R 12/09

Civil No Contact Orders Forms for other Illinois Counties
Verified Petition for Civil No Contact Order	Assigned locally
Summons - Civil No Contact Order	Assigned locally	R 12/09
Civil No Contact Order	Assigned locally	R 12/09
Motion to Extend and/or Modify Civil No Contact Order	Assigned locally	R 12/09
Order for Extension &/or Modification of Civil No Contact Order	Assigned locally	R 12/09

Stalking No Contact Orders Forms for other Illinois Counties
Verified Petition for Stalking No Contact Order	Assigned locally	R 12/09
Summons - Stalking No Contact Order	Assigned locally	R 12/09
Stalking No Contact Order	Assigned locally	R 12/09
Motion to Extend and/or Modify Stalking No Contact Order	Assigned locally	R 12/09
Order for Extension &/or Modification of Stalking No Contact Order	Assigned locally	R 12/09

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NOTE:	If you cannot find a form under a specific division, please check the List of All Online Court Forms page. Many of the most commonly used forms are included in this section because they are used throughout the different divisions.
NOTE:	Not all forms utilized in court are available here due to the nature and needs of the case.

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