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$ Forms for Parents
$ Forms for Providers
Serving Champaign, Douglas, Iroquois, Macon, Piatt and Vermilion, IL Counties
| PRINTABLE PDF VERSION | FORM AND DESCRIPTION |
| Application.pdf | Child Care Application |
| Change Provider | Change of Provider Form |
| ReDe Form | Redetermination Form |
| Parent Co-Payment Chart |
Co-Payment1 Family Size 2 - 3
Co-Payment2 Family Size 4 -6
For family sizes larger than 6, please call our office for the co-payment information.
| PRINTABLE PDF VERSION | FORM AND DESCRIPTION |
| CANTS | CANTS Background Check |
| W9 Form | W9 Form |
| Rate Cert | Rate Certification Form |
| Home Rates | Provider Payment Rates - Homes |
| Center Rates | Provider Payment Rates - Centers |
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// Forms