Get Il 444-4006 2007-2026

Filling out the IL 444-4006 form can feel daunting, but with clear instructions, anyone can complete it successfully. This guide is designed to provide users with structured steps to navigate the online form effectively.

Follow the steps to complete your IL 444-4006 form online.

1. Click ‘Get Form’ button to access the form. This will allow you to open the IL 444-4006 in an online environment.
2. In the section labeled 'Attendance Record for Week Ending (Friday):', enter the date corresponding to the week you are reporting. Ensure that you pick a date that is a Friday as specified.
3. Provide the customer's first and last name in the designated fields to ensure correct identification.
4. Fill in the 'Provider' section along with the DHS Case Number and IDHS FCRC to link the report to the correct case.
5. In the 'Primary Core Activities' section, select the appropriate activity codes from the list provided, such as Employment (802) or Self-Employment (801), based on the customer’s activities for the week.
6. In the 'Hours Assigned' fields, enter the expected time the customer should devote to each activity for the week.
7. Record the 'Regular Hours' and 'Absent Hours' for each activity. This will reflect the actual time spent and any hours missed due to absence, respectively.
8. Complete any additional notations regarding 'Secondary Non-Core Activities' or 'Non-Countable Other Activities' as applicable, entering similar time data as in previous steps.
9. In the signature section, the customer must sign and date the form to affirm the accuracy of the reported information.
10. The provider must also sign, verify their details, and complete the 'New Employment' section if the customer has recently started a new job.
11. Once all sections have been filled out appropriately, you can save changes, download, print, or share the form as required.

Complete your IL 444-4006 form online today to ensure accurate reporting and maintain benefits.