Child Care Assistance Program Forms

CCAP Forms

ATTENTION! Child Care Assistance Program (CCAP) Parents and Providers.

There are now two ways you can request forms electronically:

1) Request Forms Online

Click the appropriate link below. Follow the instructions to select your form and then press “submit.”

If you would like your form emailed to you, please complete an Email Agreement form (complete un formulario de acuerdo por correo electrónico).

2) Request Forms by Phone

Call 312.823.1100

At the main menu, select the option for the Child Care Assistance Program and an agent can send you the form you need.

Forms include:

  • Child Care Application Form
  • Redetermination
  • Provider Change
  • Change of Information
  • Change of Address
  • Email Agreement
  • W-9 Form
  • Telephone Billing Agreement
  • Debit Card Application
  • Child Care Application Form

Please read all form instructions carefully. To help us serve you better and expedite processing of your application, please be sure to:

  • Read all documents in detail
  • Make sure all 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.

Please allow ten business days from the day of receipt for your application to be reviewed.

If you need assistance in completing the application or other documents please contact us for help.

Child Care Application Form

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.

In order to expedite processing of your application it is important that you read all documents in detail. It is also important that you submit a complete application that includes the required supporting documentation.* Please allow ten business days from the day of receipt for your application to be reviewed.

If you need assistance in completing the application or other documents please contact us for help.

Child Care Application Form

The Child Care Application is used when initially applying for child care or when a previous child care case is no longer active.

W-9 Form

A W-9 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.

*Please note that state authorized databases will be used to clarify information submitted to our offices. These databases include, but are not limited to, TANF, Child Support Enforcement, Wage Verification, birth records, Social Security Administration, employment security, Department of Labor, and Chicago Public Schools.

Walk-In Service Updates

Walk-In services discontinued until further notice. 

Questions?

For any questions about your Child Care Assistance Program (CCAP) case, please call 312.823.1100 or schedule a consultation phone appointment.

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