“With the assistance of Illinois Action for Children... my family became more self sufficient.” — Darnice

Child Care Assistance Forms

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) and keep a copy of all forms for your records.

Spanish-language forms are available in the sidebar on the right.

Child Care Application Form

W-9 Form

  • This form is submitted to the Illinois Department of Human Services Comptroller office for processing. The provider must be approved by the State of Illinois to be compensated for services.

Attention: Current CCAP Parents and Providers

Since January 14, 2014, the Illinois Department of Human Services has been transitioning to a new case management system, the Child Care Management System (CCMS) at Child Care Resource and Referral sites across the state.

Under CCMS, accessing Child Care Assistance Program (CCAP) forms has changed. All CCAP forms, with the exception of applications, will be generated by the system and will no longer be available online.

If you need to complete a Request for Redetermination Information or Change of Information (Change of Provider) form, please contact our general line (312.823.1100) to request the form(s) be mailed to you.
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