Form BLR 02121 Resolution Reappointing County Engineer - Illinois

Form BLR02121 or the "Resolution Reappointing County Engineer" is a form issued by the Illinois Department of Transportation.

The form was last revised in October 4, 2017 and is available for digital filing. Download an up-to-date Form BLR02121 in PDF-format down below or look it up on the Illinois Department of Transportation Forms website.

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Resolution Reappointing County Engineer
County,
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
requested the consent
WHEREAS, the
County Board by resolution dated
County
Date
Department of Transportation to the reappointment of
and
Name of Incumbent
given its consent to the reappointment of
WHEREAS, the Department of Transportation has on
Date
;
Name of Incumbent
County Board that
NOW, THEREFORE, BE IT RESOLVED by the
Name of Incumbent
County
for a term of six years effective
, and
is hereby appointed County Engineer for
County
Date
County Board that the salary of the County Engineer be fixed as follows:
BE IT FURTHER RESOLVED, by the
County
Salary
Date From
Date To
Amount of Salary
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 06/05/19
BLR 02121 (Rev. 10/04/17)
Resolution Reappointing County Engineer
County,
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
requested the consent
WHEREAS, the
County Board by resolution dated
County
Date
Department of Transportation to the reappointment of
and
Name of Incumbent
given its consent to the reappointment of
WHEREAS, the Department of Transportation has on
Date
;
Name of Incumbent
County Board that
NOW, THEREFORE, BE IT RESOLVED by the
Name of Incumbent
County
for a term of six years effective
, and
is hereby appointed County Engineer for
County
Date
County Board that the salary of the County Engineer be fixed as follows:
BE IT FURTHER RESOLVED, by the
County
Salary
Date From
Date To
Amount of Salary
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 06/05/19
BLR 02121 (Rev. 10/04/17)
Instructions for BLR 02121
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 incumbent county engineer.
Name of County
Insert the name of the county.
Date
Insert the date of the resolution the County Board passed as a request to the Department of Transportation for
consent of reappointment.
Name of Incumbent
Insert the name of the incumbent county engineer.
Date
Insert the date the Department of Transportation gave consent for reappointment.
Name of Incumbent
Insert the name of the incumbent county engineer.
Name of County
Insert the name of the county.
Name of Incumbent
Insert the name of the incumbent county engineer.
Name of County
Insert the name of the county.
Date
Insert the effective date of the reappointment.
Name of County
Insert the name of the county.
Salary
In the table below insert the salary for the next six years. With each year having an effective date (from) (to)
and the salary for each of those years (Salary Amount). A seventh line is provided for partial years. For
example, the first line covers only a partial year before a salary increase. Insert in order by years. Do not
overlap time frames.
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.
Clerk's signature
The clerk will sign and date here.
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 06/05/19
BLR 02121 (Rev. 10/04/17)

Download Form BLR 02121 Resolution Reappointing County Engineer - Illinois

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