Public Benefit Resources

A compilation of resources related to public benefits, homeless youth, and more. 

Appeals

• Appeal Request Form [English]

• Appeal Request Form [Spanish]

• Implementation of Appeal Decision [English]

Applications

• Application for SNAP [English]

• Application for SNAP [Spanish]

• Request for Cash Assistance - Medical Assistance - SNAP [English]

• Request for Cash Assistance - Medical Assistance - SNAP [Spanish]

• Request for Assistance for Additional Family Member [English]

• Request for Assistance for Additional Family Member [Spanish]

• Request for Financial Assistance [English]

• Request for Financial Assistance [Spanish]

Guides

• Public Benefits Guide

• Illinois Child Care Assistance Program Checklist

Medicare

• Application for Enrollment in Medicare Part B [English]

• Application for Enrollment in Medicare Part B [Spanish]

• Medicare Income-Related Monthly Adjustment Amount - Life Changing Event

Other

• ​Consent to Release Information [English]

• Consent to Release Information [Spanish]

• Medical Evaluation - Physician's Report [English]

• Medical Evaluation - Physician's Report [Spanish]