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Illinois Child Care Assistance (CCAP) Forms
Access the CCAP application and related CCAP forms below.
There are three simple ways to access CCAP forms and applications:
- Download forms on Illinois Action for Children’s website
- Request forms via phone
- Pick up forms at our Lawrence, Chatham, and Damen locations
Download CCAP Forms
Read form instructions carefully and complete all questions on the form. Write “N/A” for questions that do not apply to you.
Wage Verification Form
Self-Employment Record Form
Telephone Billing Agreement
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.
Debit Card Form
Choose the Illinois Debit MasterCard to receive your child care assistance payments! Complete the Illinois Debit MasterCard form and submit to the Illinois Department of Human Services to receive an Illinois Debit MasterCard.
Request CCAP Forms
Over the Phone
Call 312.823.1100. Press option 2 for the Child Care Assistance Program to speak with an agent.
In-Person
Visit our Lawrence, Chatham, and Damen locations to pick up CCAP forms. Our Homewood location does not have CCAP forms for pick-up.