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Making the Connection | Illinois
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Cash
Cash Questionnaire
Please check all that apply and hit next
1.
There are children in my home who I support and who are under 18
2.
I or someone in my home is currently pregnant
3.
I or someone in my is aged 65 and older, blind or disabled
4.
I or someone in my home is a veteran or dependent of a veteran
5.
None of the above
Files
IL444-0400 Receipt.pdf
[IDHS Receipt of application]
403 Kb
IL444-0400S Receipt Spanish.pdf
[IDHS Receipt of Application (Espanol)]
426 Kb
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