Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Petition to Set Aside Default

Sign in to Save Progress
  4. City Seal Color
  6. BEFORE THE CODE HEARING OFFICER CITY OF WAUKEGAN, ILLINOIS
  8. CITY OF WAUKEGAN,

    a municipal corporation.

  11. V.

  13. Respondent Name

  15. PETITION TO SET ASIDE DEFAULT

  17. NOW COMES, the respondent and hereby petitions the Administrative Hearing Officer to set aside the Finding, Decision, and Order of Default entered in the above-captioned matter on the original date provided and in support thereof do state, under oath, that I was unable to attend said hearing for the following good cause reason(s):

  18. Petitions must be received within 21 days of your original hearing date.

  20. Please write the reason you were unable to attend the original hearing

  24. Respondent's or counsel's mailing address should be provided here

  35. eSignature*

    By clicking on 'Electronically Sign' below, you understand that an electronic signature is taking place and you intend to be bound by and authenticate this electronic record and attest to the statements contained within, and that you understand that submitting another individual's electronic signature or attesting to false statements in an electronic record is a false statement that is punishable as unsworn falsification under AS 11.56.210; is an offering of a false instrument for recording that is punishable under AS 11.46.550; and may constitute other crimes such as perjury, theft, attempted theft, criminal mischief, forgery, criminal impersonation, scheme to defraud or criminal use of a computer; or other criminal offenses under state, municipal, or federal law.

    36. Leave This Blank:

  38. This field is not part of the form submission.