New Universal Change Report Form for SNAP, Cash and Medical (IL 444-1979)

12/14/17

Information Memo

Summary:

• A universal change form was created to ensure that all Caseworkers and Department staff are able to record a change in an uniform manner.
• The new universal change form is to be used when a client reports a change to their case. After the change is reported it should be uploaded in the EDM and a task should be created.
• This form is to be used to record any change(s) that the client reports that could impact their SNAP, Cash or Medical case.
• IL 444-1979/IL 444-1979S have been uploaded to OneNet.

With the addition of the Form IL 444-1979/IL 444-1979S, the process of recording a reported change will be the same across all FCRC's and Call Center Staff. All caseworkers will now be able to report the changes on the same form.

[signed copy on file]

James T. Dimas

Secretary, Illinois Department of Human Services

Felicia F. Norwood

Director, Illinois Department of Healthcare and Family Services

Forms Referenced:

IL 444-1979

IL 444-1979S