Complete the Responsibility and Services Plan using the the Work Verification System (WVS), or the manual Form 4003 series.
The Responsibility and Services Plan (Form 4003) series includes:
Complete Referral Form (Form 2151) to refer the applicant to any resources in the community which may be of help to them.
Applicant not included in TANF request
If an RPY requires child care due to employment, complete Form 2151 to refer them to the CCR&R. Give the RPY a copy to present to the CCR&R as proof of RPY status so they can determine child care eligibility.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
IDHS Office Locator
IDHS Help Line
© 2023 Illinois Department of Human Services