Illinois Guardianship FormIllinois Guardianship FormIllinois Guardianship Form
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CFS 1800–B–G
Rev 8/2012
State of Illinois
Department of Children and Family Services

SUBSIDIZED GUARDIANSHIP APPLICATION
(SECTION I TO BE COMPLETED BY THE WORKER)

If you do not wish to apply for subsidized guardianship, complete Sections I, II and III.
If you wish to apply for subsidized guardianship, complete Sections I, II and IV.

I.

GUARDIAN AND CHILD INFORMATION

Guardian

Home Telephone Number

Guardian

Address

City

State

Zip Code

/
Child’s Name

II.

/

Date of Birth

INFORMATION REGARDING SUBSIDIZED GUARDIANSHIP
Following is information regarding the availability of subsidized guardianship for the child for whom you are
planning to assume guardianship. Please indicate the types of subsidized guardianship for which you wish to apply.
1.

Nonrecurring Expenses for Subsidized Guardianship
This is a one-time only payment for reasonable and necessary miscellaneous costs and legal fees related to
subsidy review, that are directly related to the transfer of guardianship of a c