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Download Child Care Assistance Forms

Please mail all forms to/Por favor, envie todos los formularios a:

Illinois Action for Children - Child Care Assistance Program
1340 S. Damen Ave 3rd Floor
Chicago IL 60608


Please read all instructions carefully. To help us serve you better, please make sure forms are filled out completely and legibly. Attach all necessary documentation (i.e. check stubs, school schedule). Keep a copy of all forms for your records. 

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Forms in English
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Illinois Action for Children is funded in part by the Illinois Department of Human Services (IDHS)