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STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES CHILD CARE APPLICATION Important Notice: Child Care benefits cannot begin before you apply. Submit your application immediately. Applicant Name and Address:

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What is rev 8-05 3455-application9-1docdoc?

This document is a form used for filing a specific type of application.

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Individuals or entities that meet the criteria specified by the form instructions.

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The form should be completed according to the instructions provided by the issuing authority.

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The purpose of this form is to collect specific information required for a particular application process.

What information must be reported on rev 8-05 3455-application9-1docdoc?

The form will typically require personal or business information, as well as details relevant to the application being filed.