The Department on Aging Director is mandated to appoint at least 18 but not more than 25 members to the Illinois Long-Term Care Council.

Utilizing a nomination form, the Department administers a fair and impartial process for recruiting and receiving nominations for members to the Illinois Long-Term Care Council from:

*The Illinois Act on Aging has mandated that these agencies solicit names and recommend members to the Department for appointment to the Illinois Long-Term Care Council.

Nominate Someone!

If you would like to recommend someone as a potential member, download and send one of the following nomination forms:

  1. Print out a blank copy of the form (27 KB). Complete the form, make a copy for yourself and mail the original as directed on the form.
    or

  2. Fill in the form then print it (81 KB). Print out at least 2 copies – one for yourself and one to mail as directed on the form.
    NOTE: You will NOT be able to save the "filled" PDF file (you can ONLY print it) unless you have the software, Adobe Acrobat Professional.