Summer EBT General Inquiry Request

The answer to your question may be available on our Frequently Asked Questions (FAQ) for Summer EBT page.

If not, you may use this form to

contact an IDHS Summer EBT agent about benefit status, amounts or eligibility,
submit general inquires for up to three children, or
report a Voluntary Return of Summer EBT benefits.

Person Submitting Inquiry

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip Code:

Phone:

Email:

Inquiry Submitted for

Child 1

First Name:

Middle Initial:

Last Name:

Date of Birth:

District:

School:

Child 2

First Name:

Middle Initial:

Last Name:

Date of Birth:

District:

School:

Child 3

First Name:

Middle Initial:

Last Name:

Date of Birth:

District: