NOTE: DoA will attach the Consent to Release of Information (Form 34) or DoA's IL 402-0184, Release Information Form, when a consent form is needed.
If information is not received within 60 calendar days:
Do not send Form 2538B to agencies under contract with DoA. DoA is responsible for distribution of this form.
Do not require a new Form 2538B at REDE. Agencies under contract with DoA will submit changes of information as necessary.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
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