READ THIS NOW! YOU MAY NOT HAVE TO GO TO COURT IN PERSON.

District
Six
USE ENVELOPE OR GO TO www.cookcountyclerkofcourt.org .
Complaint
PERSONS UNDER 18 YEARS OF AGE REQUESTING COURT SUPERVISION OR
TRAFFIC SAFETY SCHOOL MUST APPEAR IN COURT WITH A PARENT OR GUARDIAN.
Number ' I I I I I I I I I
YOUR THREE CHOICES: (FOR USE OF ENVELOPE ONLY)
A. Plead Guilty, Pay $75, unless the complaint is for speeding 21-30 miles per hour over the speed limit, then Pay $95; or failure to wear
seatbelt, then Pay $55. Conviction is reported to the Secretary of State for entry on your public driving record.DO NOT APPEAR IN COURT.
SIGN & MAIL WITH PAYMENT xv- I plead guilty. X
Your Signature Date
B. IF YOU ARE 18 YEARS OR OLDER, to avoid a Conviction On Your Driving Record, Plead Guilty, Register for Traffic Safety School,
Pay $115 unless the complaint is for speeding 21-30 m.p.h. over the speed limit, then Pay $135. Failure to wear seat belt, then Pay $95.
Fill out the Registration Form for Traffic Safety School. DO NOT APPEAR IN COURT.
SIGN & MAIL WITH PAYMENT > I plead guilty and I understand that if I am not eligible for or do not complete Traffic Safety
School, a conviction will be reported to the Secretary of State for entry on my public driving record.
Any overpayment, less a processing charge, will be refunded.
X
Plead Not Guilty and Request A Court Hearing. Your Signature Date
C Mail in this envelope and the Clerk can either mail you a court date or by providing your email in the space below have your court date emailed to
you, once you're Mail-In-Copy is received and processed.
FAILURE TO APPEAR IN COURT MAY RESULT IN A CONVICTION AND FINE. THERE ARE NO AUTOMATIC COURT CONTINUANCES.
PROVIDE YOUR EMAIL ADDRESS TO RECEIVE A COURT DATE BY EMAIL:
(PLEASE PRINT EMAIL ADDRESS)

TO RESPOND BY MAIL, READ ALL INSTRUCTIONS.

If you have been assigned court supervision on two (2) occasions within twelve (12) months preceding your date of arrest,
you are ineligible for a third assigned court supervision and will not qualify for court ordered attendance at Traffic Safety School.
1. Use this envelope if your complaint is marked "YOU MUST MAIL".
Choose one of the 3 options above by placing an X in one of the boxes. a All checks and money orders must be made out to "CLERK OF THE
Follow the instructions and mail this envelope. CIRCUIT COURT." Do not send cash or starter checks.
2. CDL INFORMATION - If you hold a Commercial Driver's License (CDL) and 6. You must write your signature and fill in your complaint number above. You
were driving a commercial or noncommercial vehicle when you received this must also complete the return address area on the front of the envelope.
complaint, do not mark Box B. You must choose A or C. Seek legal counsel. 7. To register for Traffic Safety School and avoid a conviction on your driving
record, mark Box B, place your signature on the line above and fill out the
3. This form (and payments for choices A or B) must be mailed to the "Registration Form" on the reverse side of this envelope flap.
Clerk of the Circuit Court within 7 days of receiving the Complaint. If you
received a Mail-In Copy (Court Communication Copy) attached to your 8. You are eligible for the 4-hour Traffic Safety School course if you are 18
complaint, please detach and return this envelope.(Not required online.) years of age or older and if you have not attended or enrolled in Traffic
Safety School for a violation committed within the previous 12 months. If
4. FAILURE TO COMPLY: If you fail to comply with the requirement of this you are 18 years or older and are found to be ineligible for the 4-hour
complaint, a judgment of conviction may be entered against you in the amount course because you were enrolled in or have attended a 4-hour course within
of the fine, penalty and costs. If you fail to appear on an assigned court date, the past 12 months, you may be eligible for an 8-hour course. Traffic Safety
your driver's license may be suspended or a judgment of conviction may be School will contact you, and an additional fee will be required at that time.
entered against you in the amount of the fine, penalty and costs. Cash bail If you are found to be ineligible for Traffic Safety School, a conviction
or other security deposited will be used to pay the fine, penalty and costs. If will be reported to the Secretary of State. Any overpayment, less a
you are an Illinois driver and you fail to pay the judgment in full, your drivers processing charge, will be refunded.
license will not be renewed, reissued, or reclassified until full payment is 9. When you mark A or B and forward payment, keep the yellow copy of your
received. FOLLOW INSTRUCTIONS. THERE ARE NO AUTOMATIC COURT complaint until you receive your driver's license or bond card. Once your
CONTINUANCES. payment is processed your driver's license or bond card will be mailed to you.

DETACH HERE BEFORE MAILING

Please circle the SPEEDING LESS SPEEDING 21-30 FAILURE TO
amount that THAN 21 MPH MPH OVER THE WEAR
applies to you. OVER THE SPEED LIMIT SEAT BELT
SPEED LIMIT
Plead Guilty $75.00 $95.00 $55.00
Plead Guilty- $115.00 $135.00 $95.00
REMEMBER TO: Register for TSS
Mark Box A, B, or C and sign the form above
Write your complaint number in the box above
If you choose Box A or B, include a check or money order made out to "CLERK OF THE CIRCUIT COURT"
If you choose Box B, complete the Traffic Safety School Registration form
Detach and retum the flap in this envelope
Detach and return the Court Communication Copy
Print your name and return address on the label on the opposite side of this envelope
Do not send yellow copy of ticket(s)
Do not send original bond receipt if bail was posted
Do not send accident reports
Do not send cash
4/08
 TRAFFIC SAFETY SCHOOL INSTRUCTIONS — Complete this side only if you chose Box B.
CLASS LOCATIONS: Classes are offered Monday AREA LOCATION TRAFFIC SAFETY SCHOOL: Your class assignment form
through Saturday, 8:00 am to 12:00 noon, 1:00 pm to Cook County will be mailed to you. Some class locations have limited or
5:00 pm and 6:00 pm to 10:00 pm (evening classes do J Northwest Rolling Meadows, Circuit Court of Cook County
Schaumburg, Radisson Hotel Schaumburg
restricted schedules. Class locations are subject to change.
not meet on Saturday). The 4-hour class is completed Schaumburg, Roosevelt University Your request will be honored, if possible, or a change to the closest
in one session.The 8-hour class is completed on two Des Plaines, Oakton Community College possible location will be made. If you are unable to attend your
j North
consecutive weeknight evenings or one Saturday Skokie, Circuit Court of Cook County scheduled class, immediately call Traffic Safety School and
session. Classes are offered in English, Spanish and u West Melrose Park, Melrose Park Fitness Center reschedule. To reschedule at no fee, call no later than the date
Polish. Sign language interpretation is available upon Melrose Park, Guy Guerine Senior Center stamped on your class assignment form. After that date the
request. LI Chicago-West Wilbur Wright College, 4300 N. Narragansett rescheduling fee is $20. If you miss your class, you must
TO REGISTER: Complete the Registration Form LI Chicago-North Truman College, 1145 W. Wilson reschedule another class and pay $20. It is your responsibility to
below or go to www.cookcountyclerkofcourt.orq. Mail notify the Traffic Safety School if you change your mailing
the form no later than 7 days after receiving the ci Chicago-Loop Avenue Hotel Chicago, 160 East Huron
la Chicago-Near West Malcolm x College, 1900 West Van Buren
address. The school is not responsible for late, lost and/or
Complaint with your non-refundable fee. Check or undeliverable mail.
money order must be made out to CLERK OF THE ci Chicago-South Kennedy King College, 6301 South Halsted Street
CIRCUIT COURT. Do not send cash or starter Olive Harvey College, 10001 South Woodlavm IF YOU COMPLETE CLASS YOU WILL NOT NEED TO
checks. Use this envelope. Li Chicago-SouthWest Daley College, 7500 South Pulaski APPEAR IN COURT: Traffic Safety School will report to the
St. Xavier University, 3700W. 103rd court when you complete class. No driving conviction will be
OUT OF STATE/COUNTY DEFENDANTS: To Alsip, Doubletree Hotel Alsip reported to the Secretary of State.
attend classes in another state or county, choose Box Li Southwest
Bridgeview, Circuit Court of Cook County
"B" on the MAIL-IN COPY. You must pay all fees listed Palos Hills, Moraine Valley Community College CDL INFORMATION: If you hold a Commercial Driver's
next to Box "B" to the CLERK OF THE CIRCUIT Li South Chicago Heights, Prairie State College
License (CDL) and were driving a commercial or
COURT OF COOK COUNTY. Complete the Tinley Park, Holiday Inn Tinley Park noncommercial vehicle when you received this complaint, do
Registration Form below. Indicate the desired state or not mark Box B. You must chose A or C. Seek legal council.
OTHER LOCATIONS
county in question #5 below. Class availability in other Li DuPage Co. IL Lisle, Lisle Hilton Hotel ONLINE COURSE: if you are 18 years or older, you may be
states and a select number of other Illinois counties is Li Jefferson Co. IL Mt. Vernon, Mount Vernon High School eligible to take the 4-hour online course. An additional
knifed. Additional fees may be required by the Li McLean Co. IL Normal, Heartland Community College fee will be required. For more information call (847) 467-6820
school offering defensive driving courses located U Shelby Co. IL Shelbyville, Shelby Electric Co-Op or go to http://server.traffic.northwestern.eduitss/
in other states or counties not listed to the right.

REGISTRATION FORM FOR TRAFFIC SAFETY SCHOOL

For use by: PERSONS 18 YEARS OF AGE OR OLDER. jriCs12 Sr:1.1 I P.AK.Atoe
rmon D I Dee &Mimi
INDICATE YOUR CHOICE FOR ONLY
QUESTIONS 1 -7 BELOW COMPLAINT DATE 100 Dry S
OP
1.Internet Version Yes No NUMBER I 1 1 OMPLAINT 1 1 11 1 1—1 1
2.What is the choice of language? NAIAE I I I I I I I I I I 1 1 1 1 1 1 1 1 1
ji English FIRST MIDE
0 Espanol M'S" F
441" I I I IIIIII 1 1 1 1 1 1 "MI
0 Polski CURRENT ama
MAIUNG
3.What day do you prefer to go to class? ADDRESSI I I I I I I I I I 1 1 1 1 1 1 1 1 1 1
APARTMENT NO. I CITE STATE ZIP CODE
0 Weekday (Mon. thru Fri.) MWN
TO I I I 111111111
0 Weekend (Saturday only) DM STATE
Of UCENSE
4.What time do you prefer to go to class? BIRTH
I I I—I I I—I I IHIRIBER I I k. CAR
1111111111
0 8:00 am 01:00 pm:I 6:00 (no 6:00 pm classes on Saturdays) DAYTIME k"C44.
EVENING
PHONE(
5.Where would you like to attend class? .■evLewl ■L
Select one from the Area above Complaint Number Out -of - State DL Date of Complaint
FOR
Area:
OFFICIAL
6. What is most important to you? USE Date of Order Driver's license Number
0 Day of Week 0 Time of Day 0 Claw Location
7. Sign Language Needed Yes No ONLY

PLACE
FIRST CLASS
NAME STAMP
HERE
STREET
ADDRESS
CITY
STATE
ZIP

TO BE PRINTED IN BY POUCE OFFICER ISSUING THE COMPLAINT.

COMPLAINT NO. COMPLAINT
ISSUE
DATE
TO:
NAME OF DEFENDANT (Last, First, Middle Initial)

OFFICER'S STAR it ISSUING AGENCY

COURT KEY
LETTER & CALL