
State of Illinois Department of Human Services. ... This form is authorized pursuant to 89 Ill. Adm. Code 120.11. Completion of the form is voluntary and there are no .
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the IL 444-2636 online
Filling out the IL 444-2636, also known as the Record of Birth form, is a crucial step for ensuring medical assistance for newborns. This guide will walk you through each section of the form, providing clear and detailed instructions to help you complete it online with ease.
Follow the steps to fill out the IL 444-2636 accurately.
- Click ‘Get Form’ button to access the IL 444-2636 form and open it in your online editor.
- Begin by filling out the case name. Enter the last name, first name, and middle name of the child as required.
- Enter the case number, which is an essential identifier for the process.
- Fill in the name of the hospital where the birth took place.
- Provide the hospital's address, ensuring you include the street, city, state, and zip code.
- Next, enter the baby’s full name by providing the last name, first name, and middle name.
- If the birth is multiple, list the names of any birth siblings in the designated area.
- Indicate the date of birth and the sex of the baby. This information is vital for official records.
- If applicable, provide the relevant date regarding the child's adoption or death.
- Fill in the mother's full name, including last, first, and middle names, along with her maiden name.
- Enter the mother's Social Security number and birth date accurately.
- Provide the mother's recipient number and phone number for contact purposes.
- Complete the mother’s address with all required information: street, city, state, and zip code.
- Fill in the father’s full name as you did for the mother, including last, first, and middle names.
- Enter the father’s Social Security number along with his birth date.
- Provide the father’s address, ensuring all sections are filled correctly.
- Input the hospital contact person's name and have authorized hospital staff sign in the designated area.
- Finally, enter the hospital contact's phone number and the date of filing.
- Once all sections are completed, review the form for accuracy, then save your changes, download, print, or share the form as needed.
Complete your IL 444-2636 form online today for efficient processing.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
Department of Human Services. RECORD OF BIRTH. IL 444-2636 (R-02-14) Record of Birth...
Sep 16, 2022 — [444, 2636, 10, 2721, 2836, 2162, 2237, 2711, 791, 588, 1441, 2949]....
Record of Birth IL 444-2636 (pdf) · Refill Too Soon Prior Approval Worksheet HFS 3082A...
Get answers to your most pressing questions about US Legal Forms API.
What is the phone number for Illinois benefits?
You may also write the Department of Human Services (IDHS) at Department of Human Services, Bureau of Civil Affairs, 401 South Clinton St., 6th Floor, Chicago, Illinois, 60607 or call the IDHS Helpline Number at 1-800-843-6154 or 866-324-5553 TTY/Nextalk or 711 Relay.
How do I contact the DHS in Illinois?
Illinois Department of Human Services (DHS) Customer Helpline Phone (toll-free): 1-800-843-6154. TTY: 1-800-447-6404. Email:DHS.WEBBITS@ILLINOIS.GOV.
What is the phone number for the Illinois medical card?
How do I apply for Illinois Medicaid? To get more information on applying for Medicaid, please contact the Health Benefits Hotline at 1-800-843-6154. TTY users can call 855-889-4326.
How can I speak to a Snap representative in Illinois?
For more information about what you can and cannot buy with your SNAP benefits, ask the store where you buy your groceries or call IDHS toll free at 1-800-843-6154 (voice) or (866) 324-5553 TTY/Nextalk or 711 TTY Relay.
How can I check the status of my food stamp case in Illinois?
Call the hotline: You can call the Illinois Department of Human Services (IDHS) hotline at 1-800-843-6154 to check the status of your SNAP application.
How to get medical assistance in Illinois?
You can apply over the phone by calling the DHS Help Line at 1-800-843-6154. A representative will take your information. Make sure to request the case number when you have completed the application. You should write this number down and keep it in a safe place.
How do I talk to a live person at DHS IL?
Call the DHS Customer Service Helpline for assistance at: (800) 843-6154 voice/(866) 324-5553 TTY, Monday through Friday, 8:00 a.m. to 5:30 p.m., except state holidays.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.