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State of Illinois Department of Human Services - Bureau of Child Care and Development CHILD CARE APPLICATION Parent/Guardian Name: KEEP FOR YOUR RECORDS The State of Illinois helps income eligible families pay for their child care services - 2026
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How to use or fill out State of Illinois Department of Human Services - Bureau of Child Care and Development CHILD CARE APPLICATION
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Parent/Guardian Name at the top of each page. Ensure all information is filled out clearly in blue or black ink.
- Complete Section I with your personal details, including your address, contact numbers, and date of birth. If applicable, provide your Social Security Number.
- In Section II, provide information about the other parent or stepparent living in your home, if applicable.
- Fill out Section III with family information, ensuring to include all children under age 21 and their immigration status.
- In Section IV, detail your child care arrangements by listing the provider's name and registration number. Specify the usual schedule of hours for each child.
- Complete Sections V through VIII regarding monthly income and certifications. Attach necessary documentation as specified in the form.
- Review all sections for completeness before submitting your application to ensure no questions are left blank.
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illinois action for child application status
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