Name:
Phone Number:
Email:
Organization:
Title:
How did you hear about us: Continuums of Care Shelters Homeless Organization Other
If other, please explain:
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary
IDHS Office Locator
IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY
© 2023 Illinois Department of Human Services