CCAP - PROVIDER FORMS REQUEST

If you are currently a CCAP provider and would like to request a provider form, Please select from the options below. Provider forms will be sent to the provider at the email or postal address we currently have on file.



Please call our CCAP call center at: 312-823-1100, or email us at ccapquestions@actforchildren.org if: - you would like to request a different type of provider form; or - you would like to check on the status of a form already submitted

 
 
 
 
 
 
 

Forms

Please make at least 1 selection from the choices below. Note: Change of Address can be requested via CCAP phone line, CCAP Phone appointment or updated on Monthly Certificate.

 

Enter the client's 15 digit CCMS case number that you need the certificate for. If you need a report for all of a child care center's cases, please enter "center report". Please note, we cannot generate a certificate for the current month until the last two business days of the month.