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19th Judicial Circuit Court ofLake County, Illinois
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19th Judicial Circuit > Court Forms > Court Forms by Document Type
 


Lake County Court Forms Online

- Sorted Alphabetically
- Sorted by Court Divisions


also view the Lake County Circuit Clerk's Court Forms web page


Court Forms - Sorted by Form Type

Acceptance/
Acknowledgements

Degrees

Proof of Service

Affidavits

Declarations

Reports - Annual, Status, Medical, etc.

Agreements

Declinations

Releases

Appearances

Demands

Responses

Applications

Instruction Sheets

Revocations

Certificates

Judgments

Satisfactions

Charts

Memorandums

Statements

Citations

Motions

Stipulations

Claims

Nominations

Subpoenas

Complaints

Notices

Summons

Consents

Oaths

Waivers

Data Sheets

Orders

 

Deeds

Petitions

 


Form Name and Description

Form
Number
Revision Date

Acceptance/Acknowledgements

 Acceptance of Office 171P-3 R 09/00

Form used in deceased estates in which a bank accepts responsibility as executor of the estate.  "Fillable"

 Confidentiality Agreement and Non-Representation Acknowledgement CONFAGR.LK 09/01

 Form used in Arbitration Cases - "Fillable"

     
Affidavits
 Affidavit for Garnishment Non Wage 171-3 R 03/01

Form used in garnishment proceedings which is sent to a bank to notify them of a judgment.  "Fillable"

 Affidavit for Wage Deduction Order 171-7a/b R 11/06

Form used in civil proceedings sent to an employer to collect on a judgment.  "Fillable"

 Affidavit Pursuant to Supreme Court Rule 222(B) 171-312 R 02/02

A form used in civil proceedings that confirms that the amount of the suit is over $50,000  "Fillable"

 Financial Affidavit 11.02 171-12 FD33 R 04/06

Form used in divorce and family proceedings in which the parties disclose financial information that is presented to the court.  "Fillable"

 Financial Affidavit Supplemental 171-12a FD34 03/01

Form used in divorce and family proceedings which must accompany the financial affidavit.  "Fillable"  Obsolete

 Joint Affidavit Regarding Separation of Parties, Division 171-213a-b 11/98

Form used in simplified divorce proceedings which both parties must sign, acknowledging specific required information.

 Small Estate Affidavit 171P-1 R 10/04

Form used in deceased estate in place of probate to obtain title changes, admission to bank, etc.  "Fillable"

     
Agreements
     
 
     
 
     
Appearances
 Appearance -(General Use) 171-8 R 08/06

Form used to indicate legal representation of a party or parties in a case.  "Fillable"  (Adobe Typewriter version)

 Appearance of Counsel Pro Hac Vice Local Rule 21.05 05/97

Form used by an attorney who is not licensed to practice law in the State of Illinois seeking permission to represent a party in a particular cause in this circuit.

 Appearance for Letters of Administration 171P-2 R 09/00

Form used in deceased estates in which heirs give consent to appointment of a representative.

 Appearance on Proof of Will 171P-85 R 09/00

Form used in deceased estate by heirs giving consent to have the will admitted to probate.

     
Applications
 Application for Certificate of Relief from Disabilities PA 93-207-F1 01/04

Form used to request relief of disabilities related to Professional Certification.   "Fillable"

 Entry of Appearance - Waiver & Consent Emancipation of a Minor New 01/08

 

     
Certificates
 Certificate of Attorney - Civil Division 171-366 R 12/06

Form used to indicate any previous or present litigation between the involved parties.  "Fillable"

 Certificate of Attorney in Citation Proceedings 171-23a R 10/00

Form used in civil proceedings indicating the dollar amount that has been paid on a judgment and what remains to be paid.  "Fillable"

 Certificate of Depository 171-209 R 09/00

Form used in minor's estate to show where money has been deposited.

 Certification of Mailing of Notice of Hearing for Emancipation of a Minor New 01/08

 

 Certification of Mailing of Order of Emancipation of a Minor New 01/08

 

 Certificate of Mailing Third Party Citation Notice  171-18 12/98

Form used in civil proceedings as proof of mailing a citation.

 Certificate of Relief from Disabilities PA 93-207-F2 New 01/04

Form used by court to grant relief of disabilities related to Professional Certification.   "Fillable"

     
Charts
 Chart of Heirship and Affidavit of Heirship 171P-25 R 09/00

Form used in deceased estate which aids in the listing of heirs to the deceased.  "Fillable"

     
Citations
 Citation to Discover Assets with Citation Notice 171-23 R 11/06

Form used in civil proceedings sent to the debtor so they may disclose what assets they have to pay on a civil judgment.  "Fillable"

 Citation to Discover Assets to Third Party  171-131 R 10/00

Form used in civil proceedings sent to a bank or third party who may have assets of a judgment debtor.  "Fillable"

     
Claims
Claim Against Estate 171P-21a R 10/00

Form used in deceased estate by creditors to attempt to recover money owed.  "Fillable"

Citation Notice 171P-72 R 09/00

Form used in deceased estate to publish in newspapers.  "Fillable"

     
Complaints
Complaint in Forcible Entry and Detainer 171-29 R 09/00

Form used for filing a civil LM Forcible Entry and Detainer (Eviction).  "Fillable"

Small Claim Complaint 171-32 R 10/00

Form used to file a small claims case of $10,000 or less.  "Fillable"

     
Consents
Consent to Allowance of Fees and Receipt and Appearance 171-205 R 09/00

Form used in deceased estate allowing attorneys' or representatives' fees.  "Fillable"

     
Data Sheets
     
 
     
 
     
Deeds
Quit Claim Deed (from Lake County Recorder of Deeds) - PDF document None  R 06/09

A Quit claim deed is a legal document that helps to transfer your share of interest in the property (house, land, mobile home, etc) to another individual.

     
 
Degrees
Name Change Decree - Adult and Minor 171-255 R 10/05

Form required when filing for a legal name change.  "Fillable"

     
Declarations
Declaration Under Uniform Child Custody Jurisdiction Act 171-145 04/98

Form used in divorce proceedings in which the parties disclose information regarding the children.  "Fillable"

     
Declinations
Declination of Office 171P-4 R 09/00

Form used in deceased estate in which the appointed representative declines to act as representative.

Jury Demand - Defendant 171-35 R 02/02

Form used by the defendant to request a jury in civil proceedings  "Fillable"

Jury Demand - Plaintiff 171-109 R 02/02

Form used by the plaintiff to request a jury in civil proceedings  "Fillable"

     
 Instructions
     
 
     
Judgments
Judgment for Dissolution of Marriage 171-213f 11/98

Form used in simplified divorce proceedings which dissolves the marriage of the parties.

     
Memorandums
Memorandum of Agreement MEMOAGR 09/01

 Form used in Civil Annexed Mediation Cases - "Fillable"

Memorandum of Partial Agreement MEMOPARAGR 09/01

Form used in Civil Annexed Mediation Cases - "Fillable"

Mediation Held / No Agreement Resulted NOAGRMT 12/01

Form used in Civil Annexed Mediation Cases - "Fillable"

Memorandum, Initial Case Management Conference Disclosure 171-184 04/98

Form used in divorce and family proceedings in which the parties must disclose certain information.  "Fillable"

Memorandum, Joint Trial Conference 171-248 04/98

Form used in divorce proceedings in which the husband and wife must disclose background information.  "Fillable"

Memorandum, Settlement Conference 171-182 R 04/06

Form used in divorce proceedings in which the husband and wife must disclose certain income information.

     
Motions
Motion, Blank 171-236 R 04/01

Blank Motion form  "Fillable"

Motion/Order to Appoint Private Process Server 171-302 R 09/01

A form used in civil proceedings requesting that a special process server be appointed.  "Fillable"

Motion/Order to Excuse Parenting Class 171-96 04/98

Form used in divorce proceedings to excuse a party from completing a parenting class.  "Fillable"

Motion/Order to Terminate Support 171-221 FD12 R 03/01

Form used in divorce and family proceedings to have child support and/or maintenance terminated.  "Fillable"

     
Nominations
Nomination 171P-256 R 10/00

Form used in guardianship proceedings needed for minors over 14 years of age.  "Fillable"

     
Notices
Change of Address 171-343 R 12/04

Form used to notify Circuit Clerk of address change.  "Fillable"

Non-Wage Garnishment Notice 171-243 R 03/01

Form used to notify the defendant that the Non-Wage Garnishment Summons has been issued.  "Fillable"

Notice of Appeal - Civil 171-239 R 02/01

Form used in the appeal of a civil case.

Notice of Appeal - Criminal 171-89 R 02/01

Form used in the appeal of a criminal case.

Notice of Filing Appeals 171-241 R 02/01

Form used for the appeal of a case.

Notice of Hearing for Emancipation of a Minor New 01/08

 

Notice of Motion 171-91 02/00

Form used to notify courts of a motion.  "Fillable"

Notice of Publication 171-244 R 10/05

Form used for legal name change  "Fillable"

Notice of Rejection of Award No number R12/12

Form used in Arbitration Cases - "Fillable"

Notice to Guardians of Disabled Adults 171P-33 R 09/00

Form used to notify guardians of adults of an annual report.

Notice to Heirs and Legatees 171-324 R 02/03

Form used to notify heirs and legatees of the probate case.  "Fillable"

Notice to Withhold Income for Support 171-60a 09/99

Form used in divorce and family proceedings to notify an employer of deductions to be made from income for child support, maintenance, etc.  "Fillable"

     
Oaths
Oath and Bond of Representative - No Surety 171P-27 R 09/00

Form used in deceased estate combining oath of office and bond.  "Fillable"

Oath and Bond of Representative - Surety 171P-8 R 10/00

Form used in all estates which shows the responsibility of the representative of that estate.

Oath of Office 171P-28 R 09/00

Form used in probate proceedings which must be signed by the guardians or executors, taking responsibility of their duties.  "Fillable"

     
Orders
Blank Order 171-94 R 01/00

Form used to draft orders that will be presented to the judge in court.  "Fillable"

Blank Order - Divorce 171-225 R 12/99

Form used in divorce proceedings to draft orders that will be presented to the judge in court.  "Fillable"

Case Management Order (Short Form) - PDF document 171-328 R 12/06

Form used to manage a case in Family Division

Custody/Visitation Referral Order 171-247 R 09/99

Form used in divorce proceedings and family proceedings when a 604B evaluator is appointed.  "Fillable"

Emergency Order of Protection - Lake   171-288   R 04/05

Form used for issue of Emergency Order of Protection.

Family Division Case Management Order 171-185 R 10/00

Form used in divorce proceedings for establishing pre-trial, trial and discovery dates.  "Fillable"

Family Division Order Following Case Management Conference 171-186 04/98

Form used in divorce proceedings in which the parties disclose exhibit and witness information prior to trial.  "Fillable"

Order Admitting Will to Probate and Appointing Representative 171P-84 R 09/00

Form used in deceased estate signed by the judge giving responsibility to the representative.  "Fillable"

Order Allowing Compensation for Guardian Ad Litem 171P-16 R 09/00

Form used in disabled or minor proceedings which allows for compensation for the Guardian Ad Litem.

Order Allowing Withdrawal of Funds 171-208 R 09/00

Form used in minor's estate which allows the minor to withdraw money.  "Fillable"

Order Appointing Guardian Ad Litem for Alleged Disabled Person 171P-74 R 09/00

Form used in alleged disabled person proceedings in which the court appoints an attorney/Guardian Ad Litem for the alleged disabled person.  "Fillable"

Order Appointing Guardian Ad Litem for Minors 171-17 R 05/01

Form used in guardianship proceedings which appoints a guardian ad litem for the minor.

Order Appointing Guardian of a Minor 171P-32 R 09/00

Form used in guardianship proceedings which appoints a person guardian of the minor.  "Fillable"

Order Appointing Plenary Guardian for a Disabled Person 171P-75 R 09/00

Form used in disabled person proceedings which appoints a guardian of the disabled person.  "Fillable"

Order Appointing Representative of Decedent's Estate-Intestate 171P-13 R 09/00

Form used in deceased estate which appoints the representative of the estate.  "Fillable"

Order Appointing Temporary Guardian for Disabled Person 171P-67 R 09/00

Form used in disabled proceedings which appoints a temporary guardian for the disabled person.  "Fillable"

Order Authorizing Settlement of Personal Injury Claim of a Minor 171-304P R 10/01

Form used in guardianship proceedings in which there was a personal injury to the minor, but no lawsuit was filed.  "Fillable"

Order Declaring Heirship 171P-87 R 09/00

Form used in deceased estate which states the heirs and legatees of the deceased.  "Fillable"

Order for Mediation/Conciliation/Counseling 171-245 04/98

Form used in divorce proceedings to order some type of mediation/ conciliation/ counseling.  "Fillable"

Order for Visitation 174-CSR212 10/04

Form used in divorce proceedings to order some type of visitation.

Order of Contempt (Indirect Civil Contempt) 171-354 11/05

Form used in civil and family proceedings.

Order of Discharge 171-207 R 09/00

Form used in deceased estate which closes the estate.  "Fillable"

Order of Emancipation of a Minor New 01/08

 

Non-Withholding Wage Deduction Order 171-7a 12/98

Form used in garnishment proceedings filed against the employer who was served with a wage deduction summons.  "Fillable"

Order (Regarding Issues of Support) 174-CSR208 10/04

Form used in divorce proceedings to order some type of child support/maintenance/contribution for education.

Order of Referral to Court Annexed Mediation DRAFT  

Form used in civil proceedings to order court annexed mediation- "Fillable"

Order of Referral to Family Mediation DRAFT 06/04

Form used in divorce proceedings to order family mediation.  "Fillable"

Supreme Court Rule 218 Order

171-139 R 10/08

Form used in the court's Supreme Court Rule 218 call.

Turn Over Order 171-153 12/98

Form prepared after garnishment has been answered by employer/bank to turn over the assets.  "Fillable"

Uniform Order for Support and Data Sheet 171-195
w/ Exhibit 1
R 06/00

Form used in divorce and family proceedings to establish payments schedules for child support, maintenance, etc.  "Fillable"

Wage Deduction Order 171-150a R 03/06

Form used in garnishment proceedings sent to the employer for withholding money ordered according to the judgment.  "Fillable"

Order Waiving Presence 171P-15 R 09/00

Form used in alleged disabled person proceedings which waives the appearance of the alleged disabled person in court.  "Fillable"

     
Petitions
Petition and Order to Sue or Defend As A Indigent Person 171-189 R 12/04

Form used if you are a indigent person to ask a Judge to excuse you from paying the fees or allow you to pay the fees in installments over time.

Petition for Appointment of Guardian for Disabled Person 171P-69 R 09/00

Form used in disabled proceedings in which a person petitions the court to be appointed guardian of a disabled person.  "Fillable"

Petition for Appointment of Guardian of a Minor 171P-31 R 09/00

Form used in guardianship proceedings in which a person petitions the court for guardianship of a minor.  "Fillable"

Petition for Appointment of Temporary Guardian for Disabled Person 171-210 R 09/00

Form used in disabled proceedings which appoints a temporary guardian for the disabled.  "Fillable"

Petition for Certification as Court Approved Mediator Local Rule 11.13, 14.28 and 20.00 R 12/11

Form used to become a Court Approved Family Mediator.  "Fillable"

Joint Petition for Simplified Dissolution of Marriage 171-213c-e 11/98

Form used in simplified divorce proceedings petitioning the court for a judgment of dissolution.

Petition for Leave to Settle Cause of Action for a Minor Plaintiff 171-303P R 10/01

Form used in guardianship proceedings outlining requests to settle cause of action in minor's estate.  "Fillable"

Petition for Letters of Administration 171P-29 R 10/00

Form used in deceased estate when there is no will.  "Fillable"

Petition for Name Change (Adult) 171-114 R 02/02

Form used to petition the court for a legal adult name change.  "Fillable"

Petition For Name Change (Minor) 171-113 R 02/02

Form used to petition the court for a legal minor name change.  "Fillable"

Petition for Probate of Will and for Letters of Administration with Will Annexed 171P-30 R 09/00

Form used in deceased estate when the appointed representative cannot act but still requests the will be admitted.  "Fillable"

Petition for Probate of Will and for Letters Testamentary 171P-24 R 09/00

Form used in deceased proceedings requesting the court to admit the will and appoint a representative.  "Fillable"

Petition for Withdrawal of Funds 171P-44 R 09/00

Form used in minor estate to petition the court to withdraw minor's money.  "Fillable"

Petition to Contest Notice to Withhold Income 171-80 04/98

Form used in divorce and family proceedings to contest a Notice to Withhold Income for Support.  "Fillable"

Petition to Rescind Statutory Summary Suspension 171-88 R 08/00

Form used in traffic and criminal DUI offenses to petition the court to rescind a statutory summary suspension.  "Fillable"

     
Proof of Service
Proof of Service of Notice to Withhold Income for Support 171-51 R 08/08

Form used in divorce and family proceedings to show proof of service of a Notice to Withhold Income for Support on an employer.  

     
Reports - Annual, Status, Medical, etc.
Annual Report - Matter of Guardianship 171P-19 R 09/00

Form used in disabled proceedings which provides information regarding the disabled person's condition.  "Fillable"

Final Report of Independent Representative 171-206 09/00

Form used in deceased estate which gives a brief description of everything completed from the estate.

Mediator's Status Report 171-327 R 08/10

Form used by Family Mediators to report status to court.  "Fillable"

Medical Report 171P-73 R 09/00

Form used in alleged disabled person proceedings which is to be completed by a medical doctor.  "Fillable"

     
Releases
Release (Satisfaction) of Judgment (Employer-Garnishee) 171-166 12/98

Form used in civil proceedings in which an employer notifies the court that the judgment has been paid.  "Fillable"

Renunciation of Will 171P-9 R 09/00

Form used in deceased estate in which a person decides to be a part of the will.

     
Responses
     
 
     
 
     
Revocations
Revocation of Certificate of Relief from Disabilities PA 93-207-F3 01/04

Form used to revoke a Professional Certificate to the court.  "Fillable"

     
Satisfactions
Satisfaction Release of Judgment 171-121 12/98

Forms used in civil proceedings to notify the court that the judgment has been paid.  "Fillable"

Settlement Conference Memorandum 171-182 04/98

Form used in divorce proceedings in which the husband and wife must disclose certain income information.  "Fillable"

Simplified Dissolution of Marriage 171-330 R 04/03

Instructions and forms required for filing a Simplified Dissolution of Marriage.

     
Statements
Docketing Statement - Civil 171-269 R 02/01

Form used for the appeal of a civil case.

Docketing Statement - Criminal 171-268 R 02/01

Form used for the appeal of a criminal case.

Statement of Guardian Ad Litem To Respondent 171P-36 R 09/00

Form used in alleged disabled person proceedings from the guardian ad litem to the alleged disabled person.  "Fillable"

Statement of Right to Discharge Guardian or Modify Guardianship Order 171P-37 R09/00

Form used in disabled proceedings signed by the judge to change or alter the guardianship.  "Fillable"

     
Stipulations
     
 
     
 
     
Subpoenas
Subpoena - Subpoena Duces Tecum LCAP-SUB 11/99

Form used in Arbitration Cases - "Fillable"

     
 
     
Summons
Arbitration Summons (Action $10,001 - $50,000)    

Form used in Arbitration Cases - "Fillable"

Dissolution Summons 171-223 04/98

Form used in divorce proceedings to notify the respondent of the filing of a Petition for Dissolution of Marriage.  "Fillable"

Garnishment Summons Non-Wage 171-147 R 03/01

Form used to indicate the date the garnishee has to file an answer as to whether there are funds available to garnish.  "Fillable"

Small Claim Summons 171-140 R 02/02

Form used to notify the defendant(s) of the filing of a small claims case against them.  "Fillable"

Small Claim Summons Copy 171-140 Copy R 02/02

Copy of Small Claims Summons which notifies the defendant(s) of the filing of a small claims case against them.  "Fillable"

Summons (30 day) 171-138 R 08/00

Form used in civil lawsuits over $50,000, adoptions, chancery and family cases notifying the defendant(s) that a case has been filed.  "Fillable"

Summons - Forcible Entry and Detainer 171-142 R 09/10

Form used to notify the defendant(s) of the filing of a civil LM forcible entry and detainer (eviction) against them.  "Fillable"

Summons - Forcible Entry and Detainer Copy 171-142 Copy R 09/10

Copy of Summons - Forcible Entry and Detainer used to notify the defendant(s) of the filing of a civil LM forcible entry and detainer (eviction) against them.  "Fillable"

Summons for Appointment for Guardian of Disabled Person and Notice of Rights 171P-23 R 09/00

Form used in alleged disabled person proceedings which is served on the alleged disabled person notifying them of the court proceedings.  "Fillable"

Summons in Mandamus 171-283 03/02

Form used in Mandamus proceedings.  "Fillable"

Wage Deduction Summons  171-149 R 03/06

Form used in garnishment proceedings indicating the date in which the answer must be filed.  "Fillable"

     
Waivers
Entry of Appearance - Waiver & Consent Emancipation of a Minor New 01/08

 

Waiver of Jury Trial (English and Spanish) 171-276A 08/99

Form used in criminal and traffic cases to waive the defendant's right to a trial by jury.  "Fillable"

 Waiver of Notice 171P-14A R 09/00

Form used in deceased estate given to heirs notifying them of probate proceedings.

 Waiver of Trial (English and Spanish) 171-46 08/99

Form used in criminal and traffic cases to waive the defendant's right to trial by a judge.  "Fillable"

 Waiver of Two Year Statutory Period of Separation  171-163 04/98

Form used in divorce proceedings to waive the statutory requirement of living separate and apart continuously for a period in excess of two years to obtain a judgment of dissolution.  "Fillable"

 
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: The List of All Online Court Forms page does not list every form form used in the court only the ones available online.
 
NOTE: Not all forms utilized in court are available here due to the nature and uses of the form.

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