HFS 3792, Health Benefits for Workers with Disabilities (HBWD) Program

Illinois Department of Healthcare and Family ServicesIllinois Department Human Services

05/31/13

[signed copy on file]

Michelle R. B. Saddler

Secretary, Department of Human Services

Julie Hamos

Director, Healthcare and Family Services

Forms referenced:

  • HFS 3792
  • HFS 3792S