1. Complete State of Illinois CMS-100 Application (pdf), mail to:

    CMS Examining and Counseling
    500 Stratton Office Building
    401 South Spring Street
    Springfield, IL 62706

    OR complete an application online at Work4Illinois Web Application Procedures

  2. Complete and Submit BRS TRAX Form (pdf) - If Email option in step 2 is unsuccesfull, print the completed form and fax to (312) 793-4409.