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Description of illinois income verification
CCAPIV. doc rev. 8/10/2006 INCOME VERIFICATION 1340 S Damen Avenue 3rd Floor CHICAGO IL 60608 phone 312 823-1100 fax 312 823-1200 Attention Client This form must be signed by your employer before submitting to our office. TO BE FILLED OUT BY CLIENT Client s Name Case Number Employee s Name I authorize my employer to release the following information to Illinois Action for Children. I understand this form is for...
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