Form CFS888-3 "Case Action Form" - Illinois

What Is Form CFS888-3?

This is a legal form that was released by the Illinois Department of Children and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2016;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CFS888-3 by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CFS888-3 "Case Action Form" - Illinois

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CFS 888-3
State of Illinois
Rev 3/2016
Department of Children and Family Services
CASE ACTION FORM
Date
Agency Name
Team RSF
Worker Name
ID #
Worker Address
Worker Phone #
Fax #
Action/Payment requested
Home of Relative Compliance Assistance
Infant Care Grant (attach Infant Care Equipment Grant Application)
Special Service Fee (attach CFS 906-4)
Financial Assistance to New Foster Parents – Non Clothing/Hygiene (attach CFS 932)
Initial Clothing Voucher
Medical Card
Exception to Policy (attach Exceptional Payment Request Form CFS 902)
Other
Name/Address/Phone # of Caretaker/Purchaser
Name of Child
ID # of Child
Birthdate
Type of Care
Requesting Supervisor Signature
DCFS Fill Out Below This Line
Request Approved
Request Denied ;
(RA or Designee’s Signature)
PA#
Amount $
Comments
CFS 888-3
State of Illinois
Rev 3/2016
Department of Children and Family Services
CASE ACTION FORM
Date
Agency Name
Team RSF
Worker Name
ID #
Worker Address
Worker Phone #
Fax #
Action/Payment requested
Home of Relative Compliance Assistance
Infant Care Grant (attach Infant Care Equipment Grant Application)
Special Service Fee (attach CFS 906-4)
Financial Assistance to New Foster Parents – Non Clothing/Hygiene (attach CFS 932)
Initial Clothing Voucher
Medical Card
Exception to Policy (attach Exceptional Payment Request Form CFS 902)
Other
Name/Address/Phone # of Caretaker/Purchaser
Name of Child
ID # of Child
Birthdate
Type of Care
Requesting Supervisor Signature
DCFS Fill Out Below This Line
Request Approved
Request Denied ;
(RA or Designee’s Signature)
PA#
Amount $
Comments