(305 ILCS 5/10-5)
(from Ch. 23, par. 10-5)
Declarations by Responsible Relatives-Penalty.
Information requested of responsible relatives shall be submitted on
forms or questionnaires prescribed by the Illinois Department or local
governmental units, as the case may be, and shall contain a written
declaration to be signed by the relative in substantially the following
"I declare under penalties of perjury that I have examined this form
(or questionnaire) and all accompanying statements or documents pertaining
to my income, resources, or any other matter having bearing upon my status
and ability to provide support, and to the best of my knowledge and belief
the information supplied is true, correct, and complete".
A person who makes and subscribes a form or questionnaire which
contains, as hereinabove provided, a written declaration that it is made
under the penalties of perjury, knowing it to be false, incorrect or
incomplete, in respect to any material statement or representation bearing
upon his status as a responsible relative, or upon his income, resources,
or other matter concerning his ability to provide support, shall be subject
to the penalties for perjury provided for in Section 32-2 of the Criminal
Code of 2012.
(Source: P.A. 97-1150, eff. 1-25-13.)