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Here's how to request forms online or by phone for the Illinois Child Care Assistance Program. Forms include the CCAP application, redetermination, IDHS Illinois Department of Human Services by Name/Number - in the "Form" field enter all or part of the form name or number. Search Forms Help. Fill Dhs Form Il 444 2636, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller ? Instantly. Try Now! ILLINOIS DEPARTMENT OF HUMAN SERVICES FORMS. Please click to the right of the title as noted to access the Spanish language version.State of Illinois | Application for Benefits Eligibility. for SNAP or cash benefits may receive a telephone call from DHS Staff using a 217 area code. IDHS Illinois Department of Human Services Search Forms. by Name/Number - in the "Form" field enter all or part of the form name or number. Dhs Forms Il. Fill out, securely sign, print or email your State of Illinois Department of Human Services I - dhs state il instantly with SignNow. Designating Someone to Help You. Approved Representative Consent Form IL 444-2998 (pdf) Notice of DHS Community – Based Services HFS 2653 (pdf). State of Illinois IL 444-2790 (R-5-04) If you do complete this form, your DHS office will be better able to determine your eligibility for benefits. State of Illinois. Certificate of Child Health Examination. FOR USE IN DCFS LICENSED CHILD CARE FACILITIES. CFS 600. Rev 12/2011. Student's Name.

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