Letter of Submission Template. Click here to file a complaint online or submit the forms below.Click Here to File a Complaint Online IDOI Help Center Account Registration Please fill out, sign, and mail this form with original receipts to: Zing Health. 225 West Washington St. Suite 450. Beginning in 2020, the Secretary of State will begin an Electronic Liability Insurance Verification program for vehicles registered in Illinois. To obtain an SR-22, you must contact an insurance company authorized to write SR-22 policies for Illinois. Illinois Legal Aid Online provides a guided interview called an Easy Form that will help you fill out the forms. During your redetermination period, you will need to complete and return your paperwork to confirm you are eligible for Medicaid or SNAP benefits. Sickness: If filing for loss due to sickness, fill in the section of the form relating to symptoms and diagnosis.