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Illinois
Department of Human Services
Michelle R.B. Saddler, Secretary
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Workers' Action Guide Chapter Table of Contents
WAG 27: Authorization of Assistance Action (Form 552)
Items 11-32
27-19-00 Item 19: Group Home, Including CILA
Enter a code in Item 19 as follows:
Resides in a group home (including CILAS): code 04.
Breast and Cervical Cancer (BCC) case: enter a dash.
Leave blank for all other clients not residing in a group home.
Related Links
27-11-00 Item 11: Other P. A .
27-12-00 Item 12: Nation of Origin
27-13-00 Item 13: Race
27-14-00 Item 14: SNAP NCIT
27-15-00 Item 15: SNAP
27-16-00 Item 16: Prop.
27-17-00 Item 17: Vol Sponsor Agcy.
27-18-00 Item 18: Primary Spoken Language
27-19-00 Item 19: Group Home, Including CILA
27-20-00 Item 20: H. H. ARR.
27-21-00 Item 21: Lang. Ind.
27-22-00 Item 22: No. Liv. Tog.
27-23-00 Item 23: No. SNAP Elig/Eat Tog.
27-24-00 Item 24: Food Stamp Certification Expiration Date
27-25-00 Item 25: No Mec. ID Only
27-26-00 Item 26: Reserved
27-27-00 Item 27: M.E.C. Rest.
27-28-00 Item 28: Case Class
27-29-00 Item 29: SNAP Income
27-30-00 Item 30: Redetermination Date
27-31-00 Item 31: Last Opening
27-32-00 Item 32: Case Certified
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