Empowering Individuals
Empowers Communities

PA Registry Update

Ready to update your PA Registry?  Just fill in the form and submit!

PA Registry Update

Monthly PA Registry Update
  • Name, address, phone, email. If no changes to your contact information, please write, "No changes".
  • Name and hours of the consumer you are working for.
  • These are approximate time periods and are not specific times you would be working or are obligated to work, it is an indicator to a span of time you are available.
  • This area is to be completed only if days or time vary for your availability or there is other specialized information you wish for us to have regarding your availability
    Select either of these areas in regards to varying degrees of availability.
  • Please let us know if you have questions and would like us to contact you.
  • Your information will be updated and remain confidential to only members of the NICIL Home Service Program. Just a reminder you need to update monthly either here, on our website, or via phone, email, or fax. Without a monthly update, you will be removed from the NICIL Registry.

 

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…
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We are looking for great PA's! Are you looking for the best career you will ever have? Click on our PA page.