Child Care Assistance Forms

The State of Illinois provides low-income families assistance for child care services if needed to work, attend school, training or other work-related activities. The Illinois Department of Human Services (IDHS) operates this program, however CCCC Child Care Assistance Program is responsible for the administration of the program.

The IDHS Child Care program serves low-income working families and families on Temporary Assistance for Needy Families (TANF) participating in education, training or other work-related activities approved by their caseworker. IDHS also assists teen parents in high school or GED programs and clients who are not receiving TANF cash assistance. Clients in a college degree program must work at least 10 hours per week.

Below are the forms related to the Child Care Assistance Program administered by Community Child Care Connection.  Before filling out the forms, be sure to read the Frequently Asked Questions.  For more information, please contact: Community Child Care Connection at 1-800-676-2805.

Downloadable Files
	IDHS Child Care Assistance Application
	Change of Provider Request Form
	IDHS Self Employment Record
	Client Change of Address Notice
	IDHS Request for Redetermination Form
	Provider Change of Address Form

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