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Form 12333 Illinois: What You Should Know

Form 8-20: Consent for Use of Case Records Illinois Office for Victims of Crime (ODBC) Form 8-20: Consent for Use of Case Records In person or by mail for victim of child abuse In person or by mail for victim of domestic terrorism In person or by mail for victim of violent crime In person or by mail to obtain a witness statement from a person claiming to have been injured by the offender, and to obtain records of the victim's injuries. If the report is filed by a hospital, the consent may be obtained without the victim appearing in person at the hospital. For all other victims, the consent must be on the report form signed by a hospital employee or a person acting as an agent of the hospital. If a request for consent is made at a hospital or medical facility within this state, the consent must be on the report form signed by a hospital employee or a person acting as an agent of the hospital. For Illinois victims of crime or for those who are injured in a crime under Illinois law, the form can be obtained from the county where the crime occurred. For victims of domestic violence, the form can be obtained from the Cook County State's Attorney's Office or from the police, fire or other law enforcement agency in the county where the crime was committed. For victims of violent crime, the form can be obtained from the sheriff's or police station in the county where the crime occurred. Public Health Nurse — Administration / Personnel WAG 01-01-04-a Payment for Services Payment for services can be submitted by the following means: PayPal (e-check):  EVERYONE (a complete mailing address plus mailing address) in Illinois. If the form is faxed to the IRS, make sure the form that's in the fax is received by the IRS within 12 days of the date the payment is made. In person at a county auditor on  Friday, May 15, 2012 or to the office of the State Board of Satisfaction Review of the Administrative Auditor. Forms. All forms (including the consent form) used in the Illinois Department of Human Compensation. You must  include the form and a check or cashier's check to make payment. Forms.

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