Form AP-P 503.5 Appearance Pro Se - Illinois

Form AP-P503.5 or the "Appearance Pro Se" is a form issued by the Illinois Circuit Court.

Download a PDF version of the Form AP-P503.5 down below or find it on the Illinois Circuit Court Forms website.

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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
CIRCUIT COURT
APPEARANCE
Pro Se
COUNTY
Instructions
Directly above, enter
the name of the county
where the case was
filed.
Plaintiff / Petitioner (First, middle, last name or Company)
Enter the name of the
person or company
that filed this case as
Plaintiff/Petitioner.
v.
Enter the name of the
Defendant/Respondent.
Enter the Case
Defendant / Respondent (First, middle, last name)
Number given by the
Case Number
Circuit Clerk.
In 1, enter your full
1. I,
enter my appearance in this case.
name.
First
Middle
Last
In 2, check only one
box to ask for a trial
2. I would like a trial with:
with only a judge or a
trial with a judge and
 a judge
jury.
 a judge and jury
You do not have a right
to a jury trial in every
case.
Under the Code of
I certify that everything above is true and correct. I understand that making a false
Civil Procedure,
735
statement on this form is perjury and has penalties provided by law under
735
ILCS5/1-109.
ILCS
5/1-109,
making a statement
on this form that you
/s/
know to be false is
Your Signature
Street Address
perjury, a Class 3
Felony.
If you are completing
this form on a
computer, sign your
Your Name
City, State, ZIP
name by typing it. If
you are completing it
by hand, sign and
print your name.
Telephone
Enter your complete
address and telephone
number.
GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your email
address. You should use an email account that you do not share with anyone else and that you check every day. If you do not check your email
every day, you may miss important information or notice of court dates. Other parties may still send you court documents by mail.
I agree to receive court documents at this email address during my entire case.
Email
Page 1 of 3
AP-P 503.5
(01/18)
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
CIRCUIT COURT
APPEARANCE
Pro Se
COUNTY
Instructions
Directly above, enter
the name of the county
where the case was
filed.
Plaintiff / Petitioner (First, middle, last name or Company)
Enter the name of the
person or company
that filed this case as
Plaintiff/Petitioner.
v.
Enter the name of the
Defendant/Respondent.
Enter the Case
Defendant / Respondent (First, middle, last name)
Number given by the
Case Number
Circuit Clerk.
In 1, enter your full
1. I,
enter my appearance in this case.
name.
First
Middle
Last
In 2, check only one
box to ask for a trial
2. I would like a trial with:
with only a judge or a
trial with a judge and
 a judge
jury.
 a judge and jury
You do not have a right
to a jury trial in every
case.
Under the Code of
I certify that everything above is true and correct. I understand that making a false
Civil Procedure,
735
statement on this form is perjury and has penalties provided by law under
735
ILCS5/1-109.
ILCS
5/1-109,
making a statement
on this form that you
/s/
know to be false is
Your Signature
Street Address
perjury, a Class 3
Felony.
If you are completing
this form on a
computer, sign your
Your Name
City, State, ZIP
name by typing it. If
you are completing it
by hand, sign and
print your name.
Telephone
Enter your complete
address and telephone
number.
GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your email
address. You should use an email account that you do not share with anyone else and that you check every day. If you do not check your email
every day, you may miss important information or notice of court dates. Other parties may still send you court documents by mail.
I agree to receive court documents at this email address during my entire case.
Email
Page 1 of 3
AP-P 503.5
(01/18)
Enter the Case Number given by the Circuit Clerk: _________________________________
PROOF OF DELIVERY
In 1a, enter the name,
1.
I sent this document:
mailing address, and
email address of the
a. To:
party or lawyer to
Name:
whom you sent the
document.
First
Middle
Last
In 1b, check the box to
Address:
show how you sent the
Street, Apt #
City
State
ZIP
document, and fill in
Email address:
any other information
required on the blank
lines.
 Personal hand delivery
b. By:
CAUTION: If the
 Regular, First-Class Mail, put into the U.S. Mail with postage paid at:
other party does not
have a lawyer, you
Address of Post Office or Mailbox
may send the
document by email
 Third-party commercial carrier, with delivery paid for at:
only if the other party
has listed their email
address on a court
Name (for example, FedEx or UPS ) and office address
document.
 The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
 Email
(not through an EFM or EFSP)
 Mail from a prison or jail at:
Name of prison or jail
In c, fill in the date
and time that you sent
c.
On:
the document.
Date
 a.m.
 p.m.
At:
Time
In 2, if you sent the
document to more than
2.
I sent this document:
1 party or lawyer, fill
in a, b, and c.
a. To:
Otherwise leave 2
Name:
blank.
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
Email address:
 Personal hand delivery
b. By:
 Regular, First-Class Mail, put into the U.S. Mail with postage paid at:
Address of Post Office or Mailbox
 Third-party commercial carrier, with delivery paid for at:
Name (for example, FedEx or UPS ) and office address
 The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
 Email
(not through an EFM or EFSP)
 Mail from a prison or jail at:
Name of prison or jail
AP-P 503.5
Page 2 of 3
(01/18)
Enter the Case Number given by the Circuit Clerk: _________________________________
c.
On:
Date
 a.m.
 p.m.
At:
Time
In 3, if you sent the
document to more than
3.
I sent this document:
2 parties or lawyers,
fill in a, b, and c.
a. To:
Otherwise leave 3
Name:
blank.
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
Email address:
 Personal hand delivery
b. By:
 Regular, First-Class Mail, put into the U.S. Mail with postage paid at:
Address of Post Office or Mailbox
 Third-party commercial carrier, with delivery paid for at:
Name (for example, FedEx or UPS ) and office address
 The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
 Email
(not through an EFM or EFSP)
 Mail from a prison or jail at:
Name of prison or jail
If you sent your
c.
On:
document to more than
Date
3 parties or lawyers,
 a.m.
 p.m.
At:
check the box and file
Time
Additional Proof of
Delivery with this
I have completed an Additional Proof of Delivery form.
form.
Under the Code of
I certify that everything in the Proof of Delivery is true and correct. I understand that making
Civil Procedure,
735
a false statement on this form is perjury and has penalties provided by law under
ILCS
5/1-109,
735 ILCS 5/1-109
.
making a statement
on this form that you
know to be false is
/s/
perjury, a Class 3
Your Signature
Street Address
Felony.
If you are completing
this form on a
Print Your Name
City, State, ZIP
computer, sign your
name by typing it. If
you are completing it
Telephone
by hand, sign and
print your name.
AP-P 503.5
Page 3 of 3
(01/18)
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