Child Care Application Form
Download this form if you are a new applicant for child care assistance or if your child care case is no longer active.
Download or request CCAP forms online or by phone.
Read instructions carefully to prevent delays in processing your form. Complete all forms completely (write “NA” if a question does not apply to you). Be sure to attach all necessary supporting documentation. Before submitting your forms, make a copy of all documents for your records.
Once submitted, you can check the status of your paperwork.
Download this form if you are a new applicant for child care assistance or if your child care case is no longer active.
Get your child care payments quicker! Download and complete the Telephone Billing Agreement to be able to call your child care payments through the Child Care Telephone Billing System. All licensed and licensed-exempt child care home providers with approved cases can enter payments over the phone through the system.
Choose the Illinois Debit MasterCard to receive your child care assistance payments! Approved providers should complete the Illinois Debit MasterCard form, follow the instructions, and mail to the Department of Human Services to receive the debit card.
Call 312.823.1100. Press option 2 for the Child Care Assistance Program to speak with an agent.