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STATE'S ATTORNEYS APPELLATE PROSECUTOR

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STATE'S ATTORNEYS APPELLATE PROSECUTOR Powered By Docstoc
					                               STATE’S ATTORNEYS
                               APPELLATE PROSECUTOR
                          Administrative Office ● 725 South Second Street ● Springfield, IL 62704 ● 217-782-1628 ● Fax 217-782-6305


Patrick J. Delfino                                                                                                        Michael J. Waller
  DIRECTOR                                                                                                                 CHAIRMAN

                             REQUEST FOR SPECIAL PROSECUTION ASSISTANCE

     Requesting State’s Attorney:                                                 Requesting County:
     Authorized Individual
     Completing this Request:                                                              Today’s Date:

               Open Case:                               Investigation:
     Case/Investigation
     Name:

     Case Number(s):

                   Felony:                 Misdemeanor:                        Juvenile:              Traffic:               Other:

     Offense(s):

     Next Court Date:



               Special Assistant:                       Special Prosecutor:
     If Special Prosecutor,
     list specific reason(s)
     for conflict:

     Summary of matter:




     To send this form via email, click the “Submit” button below and follow                   Patrick J. Delfino, Director
     the on-screen directions. Otherwise, print and fax or mail this form                      State’s Attorneys Appellate Prosecutor
     to the address listed. You may also save a copy for your records.                         725 South Second Street
                                                                                               Springfield, IL 62704
                                                                                               Facsimile: 217-782-6305
             Submit                                Print
                                                                                               pdelfino@ilsaap.org

                                                            INTERNAL USE ONLY
    Accepted:        Declined:


              Director                                                             Date

    Special Prosecutor Assigned:                                                   Notes:

				
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