(Staff) Completes
IL444-3185 Disposition of Child Care Request from the information obtained on IL444-3455 Child Care Application and
IL444-1897 Statement of Child Care Cost /
IL444-1897A Statement of Child Care Cost Due to Employment.
NOTE: If payment to the provider is approved, indicate on the form the starting and ending dates of the period for which child care payments may be made (the duration of the plan), the copayment amount, and the maximum payment rate.