CFS 689 PDF Details

Do not use this form if you are an applicant for licensure or an employee/volunteer of a licensed child care facility. Please contact your licensing representative.

Submit: Submit by mail OR fax OR email.

Fax or email: FAX to: 217-782-3991. Scan/Email to: CFS689Background@illinois.gov.

Illinois addresses: if you currently reside in Illinois, please list all previous addresses for the past five years.

Out-of-state: if you currently reside out-of-state, please provide ALL Illinois addresses in which you did reside while living in Illinois.

Other names: list maiden name and/or all other names by which you have been known: (last, first, middle).

QuestionAnswer
Form NameCFS 689
Form Length1 page
Fillable?Yes
Fillable fields40
Avg. time to fill out7 min
Edition7/2012
Issuing agencyState of Illinois Department of Children and Family Services
Where to sendSubmit by mail OR fax OR email
Matches the agency's fileYes, checked October 2, 2026
Other namesCFS 689, CFS689, Illinois CFS 689, CANTS form, CANTS background check, Authorization for Background Check
Official sourceCFS 689 (Rev 7/2012), State of Illinois Department of Children and Family Services