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