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Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Alphabetical Listing of Forms

* Important Note: For best results, use Internet Explorer v11 or above to open HFS forms. If you use Chrome or other browsers, you may experience technical difficulties with certain fillable PDF's, depending on your browser settings. If this is the case, right-click the form link, save the PDF to your device, then open the form outside of your browser.

Application for Child Support Services (Title IV-D) HFS 1283
Application for Child Support Services (Title IV-D) For A Caretaker Who Is Not the Biological or Legal Parent HFS 1283A
Application for Child Support Parent not Living with the Child/ren HFS1283N (pdf)
Attestation of Information HFS 3759 (pdf)
Clean Slate Application HFS 2745
Consent To Release Confidential Information HFS 3692 (pdf)
Custodial Parents' Automatic Deposit Form HFS 1283B (pdf)
Illinois Denial of Parentage HFS 3416D (pdf)
Illinois Denial of Parentage Instructions HFS 3416D (pdf)
Important Disclosure Statement Regarding Legal Representation HFS 3304 (pdf)
Instructions for Hospitals HOPE (Hospital Opportunity for Paternity Establishment) HFS 3415 (pdf)
Non-Assistance Program Fact Sheet HFS 3316 (pdf)
Past Due Payment Notice HFS 3607H (pdf)
Paternity Affidavit HFS 2119 (pdf)
Payment Instruction Sheet HFS 1507 (pdf)
Private Attorney Interest Calculator HFSWEB 026 (xls)
Recission of Illinois Voluntary Acknowledgement of Paternity or Denial of Parentage HFS 3416E (pdf)
Report on Child Support Terms HFS 1760 (pdf)
Request For A Certified Copy Of The Voluntary Acknowledgment Of Paternity and/or Denial of Paternity HFS 3416H (pdf)
Requesting Child Support Services HFS 3416 (pdf)
Request for a Certified Copy of the Administrative Support Order HFS 2789H (pdf)
Request for Paternity/Child Support Services Forms HFS 1517CS (pdf)
SDU Payment Remittance Form HFS 2752A (pdf)
Valid Reasons for Missing A Child Support Services Appointment HFS 3017 (pdf)
lllinois Voluntary Acknowledgment of Paternity HFS 3416B (pdf) - The tabbing feature on this Voluntary Acknowledgement of Paternity form might not function properly on certain browsers. Because of this, you might need to click into the next box that you wish to populate or the tabbing feature should function properly if you save the form to your desktop/or file on your computer.

Listado alfabético de formularios