This form contains 36 fields organized into 7 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Affiant Signature and Contact Information
Affiant Signature	Text	Enter the affiant’s signature (type your name as your signature if completing the form electronically).
Affiant Street Address and Unit Number	Text	Enter the affiant’s street address, including apartment or unit number if applicable.
Affiant Printed Name	Text	Enter the affiant’s full name as it should be printed.
Affiant City, State, and ZIP Code	Text	Enter the city, state, and ZIP code for the affiant’s mailing address.
Affiant Telephone Number	Text	Enter the affiant’s telephone number where they can be reached.
Affiant Email Address	Text	Enter the affiant’s email address, if available.
Court Filing Information
County	Combobox	Enter the name of the Illinois county where this case is being filed. Kane Wayne Lawrence Winnebago DeWitt Shelby Scott Henderson Pike Edgar Union Macoupin Clinton DuPage Hardin Greene Edwards Lee Marion Jefferson Massac Will Kankakee Cumberland Vermilion Perry Pope Sangamon Cook Ogle Grundy Marshall Effingham Franklin Champaign Rock Island LaSalle Lake Morgan Knox McHenry Schuyler Richland DeKalb Stephenson Warren Iroquois Jo Daviess Crawford Macon Williamson Clay Johnson Douglas Boone White Monroe McDonough Kendall Hamilton Wabash Pulaski Adams Madison Mason Carroll Putnam Whiteside Peoria McLean Ford Calhoun Brown Woodford Fulton Saline Washington Menard Gallatin St. Clair Bureau Jersey Logan Moultrie Montgomery Alexander Hancock Tazewell Fayette Clark Stark Bond Piatt Coles Randolph Jasper Mercer Jackson Livingston Christian Cass Henry
Case Number	Text	Enter the court-assigned case number for this filing.
General
Enter your name as Plaintiff	Text
Enter your name as Plaintiff	Text
Enter your name as Plaintiff	Text
Below "Defendants," enter the names of the people you are trying to evict	Text
Below "Defendants," enter the names of the people you are trying to evict	Text
Below "Defendants," enter the names of the people you are trying to evict	Text
Print Form	Button
Save Form	Button
RESET	Button
Plaintiff and Defendants
Plaintiff Name	Text	Enter the full name of the plaintiff (for example, the landlord or property owner) bringing the eviction case.
Defendant(s) Name(s)	Text	Enter the full name(s) of the defendant(s) you are seeking to evict (first, middle, last).
Unknown Occupants	Checkbox	Check this box only if you checked “Unknown Occupants” on the Eviction Complaint and Eviction Summons.
Reason 1 - Notice or Demand Not Attached (Check All That Apply)
Reason 1: Did not attach a Notice or Demand to the Eviction Complaint	Checkbox	Check this box if you did not attach a Notice or Demand to the Eviction Complaint.
Reason 1: Cannot find or did not save my copy	Checkbox	Check this box if you did not attach the Notice or Demand because you cannot find it or did not save your copy.
Reason 1: Notice or Demand not required in this case	Checkbox	Check this box if you did not attach the Notice or Demand because a Notice or Demand is not required for this case.
Reason 1: Other reason	Checkbox	Check this box if you did not attach the Notice or Demand for a different reason and you will write that reason on the provided line.
Reason 1 Other Reason	Text	Enter the specific other reason you did not attach a Notice or Demand to the Eviction Complaint. Fill only if 'Reason 1: Other reason' is 'Yes'. Depends on: Reason 1: Other reason
Reason 2 - Affidavit/Proof of Service Not Attached (Check All That Apply)
Reason 2: Affidavit/Proof of Service Not Attached	Checkbox	Check this box if you did not attach a copy of an affidavit or proof of service of a Demand or Notice to the Eviction Complaint.
Reason 2: Cannot find or did not save my copy	Checkbox	Check this box if you did not attach the affidavit/proof of service because you cannot find it or did not save your copy.
Reason 2: Notice or Demand not required	Checkbox	Check this box if you did not attach the affidavit/proof of service because a Notice or Demand is not required in this case.
Reason 2: Other reason	Checkbox	Check this box if you did not attach the affidavit/proof of service for a reason other than the options listed and you will provide that reason on the line.
Reason 2 - Other Reason (Affidavit/Proof of Service Not Attached)	Text	Provide the specific other reason you did not attach a copy of an affidavit or proof of service of a Demand or Notice to the Eviction Complaint. Fill only if 'Reason 2: Other reason' is 'Yes'. Depends on: Reason 2: Other reason
Reason 3 - Written Lease Not Attached (Check All That Apply)
Reason 3 - Written lease not attached	Checkbox	Check this box if you did not attach a copy of a written lease to the Eviction Complaint.
Reason 3 - Not required to attach a written lease	Checkbox	Check this box if you are not required to attach a written lease to the Eviction Complaint.
Reason 3 - No written lease with defendants	Checkbox	Check this box if you did not have a written lease agreement with the defendants.
Reason 3 - Cannot find/did not save copy of written lease	Checkbox	Check this box if you cannot find or did not save your copy of the written lease.
Reason 3 - Other reason (written lease not attached)	Checkbox	Check this box if another reason applies for not attaching the written lease, and write the reason on the line provided.
Reason 3 - Other Reason for Written Lease Not Attached	Text	Describe the other reason you did not attach a copy of the written lease to the Eviction Complaint. Fill only if 'Reason 3 - Other reason (written lease not attached)' is 'Yes'. Depends on: Reason 3 - Other reason (written lease not attached)

Affidavit - Supporting Documents Not Attached to Eviction Complaint Instructions