Get Il Il 444-4314 2011-2026

This guide provides step-by-step instructions on how to complete the IL IL 444-4314 form online. It ensures that users understand each section and field, making the process clearer and more efficient.

Follow the steps to effectively complete the form

1. Press the ‘Get Form’ button to access the IL IL 444-4314 form online.
2. Begin by filling in the 'WIC Clinic Name' field with the exact name of your clinic.
3. Enter your 'Clinic Number' in the designated box, ensuring it matches the official documentation.
4. In 'Address #1', input the primary address of your clinic. If applicable, use 'Address #2' for any additional location details.
5. Specify the 'City' where your clinic is located, followed by the 'State' for further clarity.
6. Fill in the 'Contact' information section to provide a reliable point of contact at the clinic.
7. Complete the 'Zip Code' and 'Telephone' fields with the respective details for your clinic.
8. Date the form appropriately using the current date to reflect when the requisition is made.
9. Review the list of items requested and indicate the quantity required in the 'Pad/s' or 'Bdls.' columns next to each item.
10. Once all information has been filled in, carefully review your entries for accuracy.
11. Download or save your completed form as a PDF for future reference. You may also print it directly if a physical copy is needed.
12. Submit the completed order form by emailing it to linda.k.butler@illinois.gov, faxing it to (217) 785-5247, or mailing it to the Illinois Department of Human Services at 823 E. Monroe, Springfield, IL 62701.

Complete your documents online and ensure accurate submissions today.