A listing of the counties served by each CCR&R, their address and phone number is on the back of this page.
Type of care: 760 Licensed Center, 762 Licensed Home, 763 Licensed Group Home, 761 Licensed-Exempt Center.
License number: the DCFS Day Care License Number, not the Foster Care License Number.
Daily rates: Full-Day Rate (5-12 hours per day) and Part-Day Rate (less than 5 hours per day).
Rate sheet: check if you are attaching your own rate sheet.
| Question | Answer |
|---|---|
| Form Name | IL444-4469 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 38 |
| Avg. time to fill out | 7 min |
| Edition | R-05-23 |
| Issuing agency | State of Illinois Department of Human Services |
| Where to send | Your Child Care Resource and Referral Agency (CCR&R) |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | IL444-4469, IL444, IL444 4469, Form 4469, Child Care Rate Certification Form, Illinois child care rate certification |
| Official source | IL444-4469 (R-05-23), State of Illinois Department of Human Services |
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