Child Care Resource and Referral at John A. Logan College Back to JALC

Forms

The following forms are available to download and print from our web site. You will need to have Adobe Reader installed on your computer to access and use these files. Click here to download Adobe Reader.

Forms may take a minute to download please be patient.

Child Care Assistance Program (CCAP) Forms

A New online application will be available at http://www.dhs.state.il.us/page.aspx?item=30355 (applications can be submitted in person or by mail as well).

All CCAP forms and supporting documentation can be submitted directly into the system via e-mail at DHS.CCMS-PRD@ILLINOIS.GOV

Receive e-mail notices of case updates – parents and provider must sign-up for e-mail updates. Sign up for e-mail notice by completing this form: http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL444-3526.pdf The Spanish version of this form is found at http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL444-3526S.pdf

The NEW application and other forms will include a barcode - the barcode is specific to an individual family and is used to link their paperwork (PLEASE: DO NOT COPY, SHARE or USE “WHITE OUT” ON CHILD CARE FORMS)

How the Barcode Works
The New application has a barcode that allows it to enter the system. Once emailed or scanned into the new system a barcode specific to that family is assigned. All forms generated after that has the “family specific” barcode on them. As the forms are returned and enter the system the barcode is used to match the document with the family.

Please do not “white out” and copy any barcoded forms and give them to another parent to use.

This applies to “Request for Additional Information”, “Redetermination”, “Change of Provider”, “Change of Information” and all other forms.

If you have blank copies of the forms please stop using them once the new system is launched. Tell parents to call us and we’ll send them a barcoded form.

Do not substitute new application paperwork for Redetermination paperwork.

Forms with Barcode

  • Request for Additional Information
  • Redetermination
  • Change of Provider
  • Change of Information

There will be an adjustment period as we learn the new system and it may take us longer to complete paperwork. We apologize in advance for any delays or challenges you might experience and appreciate your patience as we work to serve you better!

In addition, the following forms are available to download and print from our web site. You will need to have Adobe Reader installed on your computer to access and use these files. Click here to download Adobe Reader.

Forms may take a minute to download please be patient.

Family picture