Select Forms below.

Most forms for the Child Care Assistance Program are no longer accessible on-line. Parents and providers can call or request on-line to have a forms generated through the system. If you have questions, please call the office.

Application (click here) - this is the current CCAP application.

• There are 4 ways to submit an application - please return with all supporting documentation
  1. Mail
  2. Email to ccrs@illinois.edu
  3. Fax - 217-333-2147
  4. Drop off - Our offices are currently closed.  Please use the drop box on the front door of Bevier Hall off of Goodwin Avenue.
• You can now request a Child Care Assistance Program form be sent to the parents home address. To request an application, redetermination, provider change, or change of information, click here.
• Payment Option Form
• Current CCAP Payment rate effective January 2021
• Rate Certification
• Telephone Billing Agreement
• W9 Form
• Wage Verification Form
• Data Request

For the child care provider grant applications below, please make sure you also complete the Vendor Information form and return to CCRS with all required documentation.

• Professional Development Funds - available for trainings July 1, 2020 through June 30, 2021
• Quality Improvement Funds Application - FY21
• First Aid / CPR reimbursement - available for trainings July 1, 2020 through June 30, 2021
• Vendor Information Form

 

Formularios en español:

• Application (en español)
• Payment Option Form (en español)
• Rate certification Form (en español)
• Telephone Billing Agreement (en español)