Guardian: If the case has a guardian, enter the last name (comma) and the initial of the first name (comma) of the first person in Item 60 as the first entry in Item 9. After the name, enter the STREET field information.

If the Office of the State Guardian of the Guardianship and Advocacy Commission serves as the legally appointed guardian, enter the STREET field information for the State Guardian for your service area.

Community Medical Case:

If the guardian asks to have the medical card mailed directly to the client, enter the client's street information.

Long Term Care Medical Case:

If the client has a guardian, authorize benefits in the name of the guardian and to the street address of the facility. If the guardian asks to have the medical card mailed to their address and not the facility, enter the name and street information of the guardian (see WAG 22-01-04).

  • Nursing Home: Enter the name of the nursing home after the street information. If the street information plus the name of the nursing home is more than 32 characters, abbreviate the name of the nursing home.
  • Representative Payee for Teen: If the case has an RPT, enter the caretaker relative's last name (comma) and the initial of their first name (comma), followed by the street information. (Applies only to Categories 04 and 06.)
  • Protective Payee: For the Protective Payee Service Unit (Cook County), enter the client's last name (comma) and the initial of the first name (comma), followed by the client's street information.

The EPU enters the address for all other protective payee cases.

  • Temporary Payee: If the case has a temporary payee, enter the caretaker relative's last name (comma) and the initial of their first name (comma), followed by the temporary payee's street information.