Department of Public Health

City of Chicago, IL

Official Website: https://www.chicago.gov/city/en/depts/cdph.html

The Chicago Department of Public Health provides guidance, services, and strategies that make Chicago a healthier and safer city.

Forms & Documents

Browse all Department of Public Health government forms

61 - 80 of 152 forms

Form Title Topics
Debarment Rules
Definition of Terms
Diabetes Management Program Enrollment Form
Disability Declaration Affidavit (BEPD Only)
Disability Discrimination Flyer- Hindi
Drafting and filing complaints on your own - Hindi
Drafting and Filing Discrimination Complaints on Your Own
Employment Discrimination Flyer- Hindi
Equal Employment Opportunity Commission—Intergovernmental Agreement
Equal Employment Opportunity Commission—Summary of Agreement
Expansion Requests
Expedited Process
Fire LTD Enrollment
FSA Claim Form – ConnectYourCare (as of January 1, 2019) – Dependent Care
FSA Claim Form – ConnectYourCare (as of January 1, 2019) – Medical Healthcare
Gender Identity Discrimination Flyer- Hindi
Getting Started
Guidelines for Implementing the Memorandum of Understanding--EEOC
Hate Crimes Brochure - Hindi
HIPAA Authorization Form

Contact Information & Office Locations

1 contact point

Main Office

Address:
333 S. State Street
Room 200
Chicago, IL 60604

Phone numbers:
  • (312) 747-9884
  • (312) 747-2374 (TYY)

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