Official Legal Form
Docketing Statement
Published by Illinois Courts — Forms. Mirrored here in its unmodified, original form for free public access.
Illinois
Administrative
Public domain
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Jun 2026
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IL
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Quick guide: File this form as instructed by the issuing court or agency. Read the official instructions carefully before submitting.
Jurisdiction: Intended for state courts in Illinois. Filing rules may vary by individual court.
Source: Published by Illinois Courts — Forms. View on official site →
Important: Verify the form is current with the issuing authority before filing. The wrong version may delay or void your petition.
When to call a lawyer: Consult a licensed attorney if you’re unsure whether this is the right form or how to fill it out.
Form text
Extracted from the official PDF
Illinois Supreme Court Rules
Article VI – APPEALS IN CRIMINAL CASES, POST-CONVICTION
CASES, AND JUVENILE COURT PROCEEDINGS
Rule 606 Perfection of Appeal
Part G Docketing Statement; Filing Fee
Docket Number in Reviewing Court _____________________
Case Title (Complete) Appeal from _______________________ County
_____________________________ Circuit Number __________________________
_____________________________ Trial Judge ______________________________
_____________________________ Date of Judgment _________________________
_____________________________ Date of Posttrial Motion ____________________
_____________________________ Date of Notice of Appeal ___________________
_____________________________ ___ Felony ___ Misdemeanor
_____________________________ ___ In Custody ___ Out on Bond
DOCKETING STATEMENT
(Criminal)
1. Full name and complete address of appellant(s) filing this statement:
Name: ________________________________________________________________________
Address:______________________________________________________________________
Address: ______________________________________________________________________
Telephone: _______________________________
Email address: ___________________________________________
Counsel On Appeal for Appellant(s) filing this docketing statement:
Name: ________________________________________________________________________
ARDC # _______________________________
Address: _____________________________________________________________________
Address:______________________________________________________________________
Telephone: _______________________________
Email address: ___________________________________________
2. Full name and complete address of appellee(s):
Name: ________________________________________________________________________
Address:______________________________________________________________________
Address:______________________________________________________________________
Telephone: _______________________________
Email address: ___________________________________________
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Illinois Supreme Court Rules
Counsel on Appeal for appellee(s):
Name: ________________________________________________________________________
Address:______________________________________________________________________
Address: ______________________________________________________________________
Telephone: _______________________________
Email address: ___________________________________________
Court reporting personnel:
(If more space is needed, use additional pages.)
Name: ________________________________________________________________________
Address:______________________________________________________________________
Address: ______________________________________________________________________
Telephone: _______________________________
Email address: ___________________________________________
General statement of issues proposed to be raised: (Failure to include an issue in
this statement will not result in the waiver of the issue on appeal.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
As attorney for the appellant self-represented appellant (check one), I hereby
certify that on the ____ day of_________________, 20___ , I requested the circuit court to
prepare the record on appeal, and on the ____ day of_________________, 20___ , I requested
the court reporting personnel to prepare the transcript(s).
________________ _______________________ _________________________
Date Appellant’s Attorney OR Appellant
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