* indicates required field


I hereby request a hearing in my own defense to the charges filed against me to be held within 30 days following the filing of this request in your office pursuant to 20 ILCS 415/11.

Please include first, middle and last name

Please include unit, apartment, or suite number.

I understand the Civil Service Commission has jurisdiction over discharges or suspension for a period of more than 30 days within a 12-month period of certified employees that have been approved by the Director of Central Management Services or their designee. 

I also understand that the Civil Service Commission does not have jurisdiction to hear the appeal of employees who have resigned from their positions. 


* This form must be filed with the Civil Service Commission within 15 calendar days after the service of the written charges. If you haven't heard anything within 5 days of submitting this form please call our office at 217-782-7373.

Form Revised October 19, 2023