Request Form

Request Form

Welcome to the on-line form request for the Child Care Assistance Program. All forms requested will be mailed to the address you list within 1-3 business days. If you do not receive the form, please call our office at 1-800-325-5516 or 333-3252. Thank you.

required1. Which form are you requesting be sent to you? Forms (other than an application) can only be sent to the parent/guardian on the case.

required1. Which form are you requesting be sent to you? Forms (other than an application) can only be sent to the parent/guardian on the case.

Welcome to the on-line form request for the Child Care Assistance Program. All forms requested will be mailed to the address you list within 1-3 business days. If you do not receive the form, please call our office at 1-800-325-5516 or 333-3252. Thank you.

required2. We serve 6 counties including Champaign, Douglas, Iroquois, Macon, Piatt, and Vermilion. Which county does the parent reside?

required2. We serve 6 counties including Champaign, Douglas, Iroquois, Macon, Piatt, and Vermilion. Which county does the parent reside?

 

 

 

 

 

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