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Elizabeth M. Whitehorn, Director

Request for Paternity/Child Support Services Forms

​Hospital staff, registrars, county clerks, etc. may now order forms related to paternity establishment and child support services via this website.

Limit the quantity of forms and envelopes requested to an amount that would be used in a 3-month period. Order quantities according to the number of individual items needed, not by the number of packages, boxes, etc.

This order form HFS 1517CS.pdf may also be printed, completed and faxed to 217-557-3459.

Out-of-Stock Forms

If an order for forms and/or brochures is placed and the items are not received, the forms are most likely out of stock. Please do not reorder items; backorders will be automatically filled when stock is available. All paternity establishment and child support forms and brochures are available on the Child Support brochures and forms page on website.

Enter the quantity of the forms being requested. When ordering your 3-month supply, please be sure to indicate the total number of individual forms or envelopes needed in the Quantity column, not the number of boxes, cases or packages.

* indicates required field

Do not use punctuation in this field. (Hospitals: Enter the Illinois Medicaid number assigned to your facility. County Clerks, and Registrars, etc.: Enter the provider number you currently use (i.e., phone number).

(Cannot deliver to Post Office Box)

Indicate name of unit such as Family Birth Center, Health Information Management, County Clerk's Office, etc., after the staff person's name to ensure proper delivery.

Please do not use punctuation in the phone number

Voluntary Acknowledgment of Paternity

Voluntary Acknowledgment of Paternity – Spanish

Illinois Denial of Paternity

Illinois Denial of Paternity - Spanish

Rescission of Illinois Voluntary Acknowledgment of Paternity

Rescission of Illinois Voluntary Acknowledgment of Paternity - Spanish

Two Parents: Give Your Child HOPE Brochure

Two Parents: Give Your Child HOPE – Spanish Brochure

Request for Application for Child Support Services

Paternity Information You Should Know Brochure

Paternity Information You Should Know – Spanish Brochure

Request for a Certified Copy of the Voluntary Acknowledgment of Paternity

Pre-Natal Brochure – Give Your Child the Gift that Will Last a Lifetime

Pre-Natal Brochure – Give Your Child the Gift that Will Last a Lifetime – Spanish

Envelope, Addressed to Division of Child Support Services, Administrative Coordination Unit

Additional Forms Needed, Not Listed Above