Certificate of Peremptory Rules (Amendments or Repealer)
The _________________________________________________________________
(name of Agency, Commission, Board or Department)
certifies that the attached hereto is a true and correct copy of:
Heading of Part:
Code Citation:
Sections Involved:
which was duly (adopted, amended or repealed) by peremptory action by this agency on the _____ day of __________, 19____.
The reason for the peremptory rulemaking is:
Statutory Authority:
Illinois Revised Statutes_____________ _____________
ChapterParagraph
_________________________
Signature of Officer
_________________________
Title of Officer
Ill. Admin. Code tit. 1, pt. 100, app D, ILLUSTRATION C