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Forms
Providers:
Now you can download enrollment, income
eligibility and shift forms -
just click on the link below and print!
(After printing, click on the "back" arrow in
your tool bar to return
to this page.)
Income Eligibility
Forms:
FY10
Provider Income Eligibility Application
(effective 8-1-09 –
7-31-10)
FY10
Parent Income Eligibility Application
(effective 8-1-09 – 7-31-10)
TO CONTACT US:
Illinois Child Care Bureau
10500 West Cermak Rd, 2nd Floor
Westchester, IL 60154
Phone: 708-397-2295
Fax: 708-397-2299
Email: ICCB@illinoischildren.com