Form BLR 02120 Resolution Requesting Consent to the Reappointment of the Incumbent as County Engineer - Illinois

Form BLR02120 or the "Resolution Requesting Consent To The Reappointment Of The Incumbent As County Engineer" is a form issued by the Illinois Department of Transportation.

Download a PDF version of the Form BLR02120 down below or find it on the Illinois Department of Transportation Forms website.

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Resolution Requesting consent to the
Reappointment of the Incumbent as County Engineer
WHEREAS, a vacancy
on
in the office of County Engineer in
County
Date
Illinois due to the expiration of the six-year term of office of the incumbent County Engineer
, and
Name of Incumbent
WHEREAS, in accordance with 605 ILCS 5/5-201, the County Board must submit to the Department of Transportation before the
reappointment of the incumbent can be made.
THEREFORE, BE IT RESOLVED that the County Board of
County does hereby request the consent of the
County
Department of Transportation to the reappointment of
as County Engineer, and
Name of Incumbent
BE IT FURTHER RESOLVED, that the County Clerk is hereby directed to transmit two (2) certified originals of this resolution to the district
office of the Department of Transportation.
I
County Clerk in and for said County of
in the State of Illinois, and
Name of Clerk
County
keeper of the records and files thereof, as provided by statute, do hereby certify the foregoing to be a true, perfect and complete original of
a resolution adopted by the County Board of
at a meeting held on
.
Date
County
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
day of
.
Day
Month, Year
(SEAL)
Clerk Signature
Printed 10/24/19
BLR 02120 (Rev. 10/04/17)
Resolution Requesting consent to the
Reappointment of the Incumbent as County Engineer
WHEREAS, a vacancy
on
in the office of County Engineer in
County
Date
Illinois due to the expiration of the six-year term of office of the incumbent County Engineer
, and
Name of Incumbent
WHEREAS, in accordance with 605 ILCS 5/5-201, the County Board must submit to the Department of Transportation before the
reappointment of the incumbent can be made.
THEREFORE, BE IT RESOLVED that the County Board of
County does hereby request the consent of the
County
Department of Transportation to the reappointment of
as County Engineer, and
Name of Incumbent
BE IT FURTHER RESOLVED, that the County Clerk is hereby directed to transmit two (2) certified originals of this resolution to the district
office of the Department of Transportation.
I
County Clerk in and for said County of
in the State of Illinois, and
Name of Clerk
County
keeper of the records and files thereof, as provided by statute, do hereby certify the foregoing to be a true, perfect and complete original of
a resolution adopted by the County Board of
at a meeting held on
.
Date
County
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
day of
.
Day
Month, Year
(SEAL)
Clerk Signature
Printed 10/24/19
BLR 02120 (Rev. 10/04/17)
Instructions for BLR 02120
This form is to be used for the reappointment of the incumbent county engineer. For more information refer to the Bureau of Local Roads
and Street Manual (BLRS) Chapter 2. For signature requirements refer to Chapter 2, Section 3.05(b) of the BLRS Manual. (Similar fields
are auto populated depending on the entry you choose in the first respective field.)
Vacancy
Insert the type of vacancy, choose from exists or will exist.
Date
Insert the date of expiration of the current incumbent's term.
Name of County
Insert the name of the county.
Name of Incumbent
Insert the name of the current County Engineer.
Name of County
Insert the name of the county.
Name of Incumbent
Insert the name of the current County Engineer.
Clerk Name
Insert the name of the County Clerk
Name of County
Insert the name of the county.
Name of County
Insert the name of the county.
Meeting Date
Insert the date of the meeting.
Day
Insert the day of the clerk's signature
Month, Year
Insert the month and year of the clerk's signature
A minimum of two (2)certified signed originals must be submitted to the Regional Engineer's District office.
Following the Regional Engineer's approval, distribution will be as follows:
District File
Central Bureau of Local Roads and Streets
Printed 10/24/19
BLR 02120 (Rev. 10/04/17)
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