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Reimbursements for Foster Caregivers

DCFS wants to ensure that our foster caregivers have been reimbursed for eligible reimbursable expenses. If you submitted requests for reimbursements prior to August 1, 2024, and have not received your reimbursement, please complete the information below.

This form is not for submitting new requests for reimbursement. The process for submitting new requests is to complete a Form 435 and to submit this, along with associated receipts, to your assigned worker. The form can be downloaded here. You can review and download eligible reimbursable expenses..

Name of Foster Caregiver(Required)
If applicable, or known
Name of Foster Child
if for a specific child
Worker’s name who the request was submitted to:
Estimated timeframe of when the request was submitted (Month/Day):(Required)