11/13/17
Action Memo
The production of the Legacy system centrally generated Redetermination Application (Form 1893), Mid-Point Report (MPR) (Form 2890), AABD Redetermination Report (Form 643GC) and TANF Eligibility Information (Form 4002c) has ended due to the implementation of IES Phase 2.
[signed copy on file]
James T. Dimas
Secretary, Illinois Department of Human Services
Form 643GC
Form 1893
Form 2890
Form 4002c
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary Designate
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