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IDHS: Women, Infants, and Children (WIC)

    https://www.dhs.state.il.us/page.aspx?item=30513
    The completed AD-3027 form or letter must be submitted to USDA by: 1. mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 …

IDHS: Forms - IDHS: Illinois Department of Human …

    https://www.dhs.state.il.us/page.aspx?item=64000
    il444-3182 - wic program vendor application (.pdf) - (r-05-22) il444-3210 - wic program change of wic vendor information notice (.pdf) - (r-09-21) il444-3211 - wic program retail …

IDHS: Forms - IDHS: Illinois Department of Human …

    https://www.dhs.state.il.us/page.aspx?item=31097
    IL444-3212 - WIC PROGRAM VENDOR COMPLAINT FORM (.pdf) IL444-3470 S - CONSENTIMIENTO INFORMADO DE BASEDE DATOS PARA VISITAS A DOMICILIO …

Medical Forms | HFS - Illinois

    https://www2.illinois.gov/hfs/info/Brochures%20and%20Forms/Pages/medicalforms.aspx
    Screening Verification Form HFS 3864 (pdf) Screening, Assessment and Evaluation Tool Approval Request Form HFS 724 (pdf) Seating/Mobility Evaluation (pdf) HFS 3701H. …



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