Do I need a notary for the ADA Court Appeal Form?

No. This document is signed without a notary; the signer completes the appeal form, and supporting documents such as a request or grievance decision are optional attachments.

What information does the appeal form ask for?

It asks for your name, contact details, court role, case number if known, the date of the grievance decision if known, and a description of how the decision violated disability access protections.

Can I attach supporting documents?

Yes. The form says you may attach an accommodation request, an accommodation request denial, the grievance decision, and/or other supporting documentation.

Sangamon County, IL · Sangamon County

No notary required

Americans With Disabilities Act Court Appeal Form

People appealing a court grievance decision use this form to explain how they believe the decision violated disability access protections.

At a glance

Issued by: City of Sangamon County · Sangamon County, Sangamon County, Illinois
Notarization: Not required: file this form without a notary.
Official source: sangamonil.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form to appeal a grievance decision when you believe a court violated the Illinois Supreme Court Disability Access Policy, the Americans with Disabilities Act, or the Illinois Human Rights Act. It asks for your contact details and role, information about the grievance decision, and a description of what happened. You may attach an accommodation request, denial, grievance decision, or other supporting documents.

Who needs it

A person appealing a court grievance decision about disability access may use this form to describe the alleged violation.

How to submit it

Submit the form to the Court Disability Coordinator, Trial Court Administration, Office of the Seventh Judicial Circuit, in care of Bridget Butler, at 200 South Ninth St, Springfield, IL 62701. The form also lists (217) 753-6757 and [email protected].

About notarization

This document is signed without a notary; the signer just completes the appeal form, and any supporting documents are optional attachments.

How to submit this form

1
Download the Form
Download the Americans With Disabilities Act Court Appeal Form.
2
Complete the Appeal
Enter your contact information and court role, describe what happened, and provide the grievance decision date if known.
3
Gather Optional Attachments
You may attach an accommodation request, its denial, the grievance decision, or other supporting documentation.
4
Submit to the Court Coordinator
Send the completed form to the Court Disability Coordinator at the address listed on the form.

Frequently asked questions

Do I need a notary for the ADA Court Appeal Form?: No. This document is signed without a notary; the signer completes the appeal form, and supporting documents such as a request or grievance decision are optional attachments.
How do I submit the ADA Court Appeal Form?: Send it to the Court Disability Coordinator, Trial Court Administration, Office of the Seventh Judicial Circuit, in care of Bridget Butler, at 200 South Ninth St, Springfield, IL 62701.
What information does the appeal form ask for?: It asks for your name, contact details, court role, case number if known, the date of the grievance decision if known, and a description of how the decision violated disability access protections.
Can I attach supporting documents?: Yes. The form says you may attach an accommodation request, an accommodation request denial, the grievance decision, and/or other supporting documentation.

Need something notarized?

This Americans With Disabilities Act Court Appeal Form doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.