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STATE OF ILLINOIS. An n DEPARTMENT or HUMAN services. CERTIFICATE or CHILD HEALTH EXAMINATION. Please Print. Student's Name Birth Date Sex ...
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The form IL444-4737-R-01, also known as the Child Care Assistance Program (CCAP) Provider Agreement, is required to be filed by child care providers who want to participate in the Illinois Child Care Assistance Program.
Unfortunately, there is limited information available about the document "IL444-4373 R 01." It is possible that this document is specific to a particular organization or jurisdiction. Therefore, it is recommended to contact the organization or government agency that issued the form for guidance on how to properly fill it out. They should be able to provide instructions and assistance tailored to your specific circumstances.
Unfortunately, I could not find any specific information about the document il444 4737 r 01. It is possible that this document refers to a specific form or paperwork used in a particular context or organization. Without further context, it is difficult to determine its exact purpose. If you can provide additional information or clarify the context in which this document is being used, I may be able to provide a more accurate answer.
IL444-4737 R 01 is a form used in the state of Illinois for reporting changes in circumstances for families receiving child care services. The specific information that must be reported on this form includes: 1. Basic identification information: Name, address, phone number, and email address of the person reporting the change. 2. Case identification number: The unique case number assigned to the family receiving child care services. 3. Change in income: Any changes in income, including increases or decreases, for all adults in the household. 4. Change in employment status: Any changes in employment, such as starting a new job, quitting a job, or changes in work hours. 5. Change in household composition: Any changes in the number of people living in the household, including new family members or individuals moving out. 6. Change in child care need: If there are any changes in the child care schedule or need for child care services. 7. Change in address or contact information: If there are any changes in the address or contact information for the family. It is important to report these changes promptly to ensure accurate eligibility determination and appropriate child care services for the family.
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