WAG 22-12-00: Voter Registration

PM 22-12-00

The following forms used to apply or redetermine eligibility contain information about voter's registration and an SBE R-19 Illinois Voter Registration application:

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  • HFS 643 Your Family's Medical Eligibility Renewal Form
  • HFS 643 BCC Renewal Form
  • HFS 643A 19-Year-Old Aging Out of All Kids Medical Benefits
  • HFS 2381C Medical Redetermination Notice
  • IL444-4765B Attachment to Application in the IL444-1893 Medical, Cash and SNAP Redetermination Notice
  • IL444-2378T (Telephonic Signature) Request for Cash Assistance - Medical Assistance - SNAP