Empowering Individuals
Empowers Communities

NICIL Online Referral Form

NICIL Referral Form

Simple, easy, online referral form. You provide the information and one of the NICIL team members will contact you for follow up. 100% confidentiality!
  • * Date of birth is used for providing you with age appropriate resources. This is only for NICIL use.
  • NICIL supports all people with disabilities, this knowledge helps us to prepare the right information for resources based on the needs an individual has.
    Please check all that apply to your needs:
  • A NICIL team member will be in contact with you within three (3) business days*. If there is as specific day of the week or time that is more convenient, please note that here. * {NICIL is open Monday-Thursday 8:00 am to 4:30 pm and closed on all major holidays. However, please note that we will make after hour calls to you during a time and day that is convenient to you. }
General Information
Our Hours:
Monday-Thursday
8:00 a.m. - 4:30p.m.
Due to the budget impasses

Our Location:
412 Locust
Sterling, IL 61081

Phone: 815-625-7860
TTY: 815-625-7863
Toll Free: 888-886-4245
Fax: 815-625-7876

NICIL is now on Goodshop & Goodsearch! Help us raise funds, one penny at a time. See our NICIL Support page for details!
What is happening at NICIL…
Click on our Event page to find out what is happening now!


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