IDHS Child Care Collaboration Program Application Form

Illinois Department of Human Services (DHS)
Child Care Collaboration Program Application

Below is a summary of the full application, available by clicking the MS Word icon below.


The purpose of the DHS Child Care Collaboration Program is to facilitate high quality collaborative programming between child care and other early care & education providers and funding streams (Child Care Administrative Rule, Sections 50.610-650).


The benefits of becoming an approved Child Care Collaboration program include the ability of families approved in the collaboration slots to take advantage for the following child care rule exceptions:

  • Annual redetermination of family eligibility;
  • Using a ninety-day (90) job loss grace period; and
  • Maintaining indefinite eligibility for families whose current TANF Responsibility & Services Plan specifies the child or family‚Äôs participation in the collaboration.

Download Application as MS Word Document

Download Word Document

(click Word Icon)
Updated 03-31-2014

Completion and Submission

Submit one copy of the completed application to:

DHS Child Care Bureau – Head Start State Collaboration Office
100 South Grand Avenue East, 2nd floor
Springfield, IL 62762

DHS will notify applicants about the approval status within sixty (60) days of application receipt. DHS will contact applicants if information is unclear or more information is needed, which can delay application processing. Questions regarding this application should be directed to the Head Start State Collaboration Office at (217) 785-2559.