
Get the free Please complete this form and return to your Child Care Resource and Referral Agency...
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YWCA Child Care Resource Referral 739 Roosevelt Road 8-215 Glen Ellyn IL 60137 Phone 630 790-8009 Fax 630 790-0722 IL444-4773 R-4-04. State of Illinois Department of Human Services CHILD CARE TELEPHONE BILLING AGREEMENT Please complete this form and return to your Child Care Resource and Referral Agency CCR R. I understand giving false information or failure to provide correct information can result in pay back of overpayments and/or referral for prosecution for fraud. Your CCR R s address is...
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