State of Illinois Department of Human ServicesSTATE IDENTITY PROOFING REQUEST FORM The State of Illinois is committed to keeping your confidential information safe and secure. To do that, the State.

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How to fill out the IL DHS IL444-3610 online

The IL DHS IL444-3610 form is an important document for verifying your identity through the State of Illinois. This guide will assist you in completing the form correctly to ensure your information is processed efficiently.

Follow the steps to fill out the form accurately.

  1. Click the 'Get Form' button to obtain the form and open it in your preferred editor.
  2. Begin filling out the form by entering your ABE username in the designated field. This will help connect your request to your existing account.
  3. Provide your first name and last name. Ensure that the names match the identification documents you will submit.
  4. Enter your date of birth. This information is crucial for verifying your identity.
  5. Fill in your phone number. This will be used for contact regarding your identity verification process.
  6. Input your email address. Make sure this is an active email, as it may be used for further communications.
  7. Complete the mailing address fields. If your mailing address differs from what the State has on file, indicate whether you would like it updated in the system.
  8. Provide either your Social Security Number or your Case/Application Number, as required.
  9. Answer the questions regarding your current services, whether you are in a long-term care facility, or if someone is acting on your behalf. If applicable, attach the necessary authorization documents.
  10. Read the attestation statement. By signing, you affirm that the information you provided is true and that you have tried verifying your identity through ABE.
  11. Sign the form, including the print name, date, and signature of anyone who is completing the form on behalf of the client.
  12. Prepare any required identity proofing documents as specified. Ensure that these documents are clear copies.
  13. After completing the form, you can save your changes, download the form, print it, or share it as needed.

Complete your IL DHS IL444-3610 form online to ensure prompt processing of your identity verification.

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IL DHS IL444-3610 Form

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