(not needed for Imprest or SinglePay
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Street Address
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above within the first 10 days of each month
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herein; to discuss with provider any change in client’s or agency’s status/plan; and to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2833.pdf
decrease the Total Grant Budget amount, or change the scope of work, within the grant year
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IGrantee Agency: Street Address* City, State, Zip* E- Mail Phone Number Fax Number Between
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/The Global Orphan Project Amendment 1 for SFY23.pdf
decrease the Total Grant Budget amount, or change the scope of work, within the grant year. For Amendments involving a change to the scope of work, please attach
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Cornerstones of Care Family First Amendment 1 and 2 SFY22-23.pdf
Language(s) Spoken in the Home
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July 2019 Page 3 of 7 (To be Updated Annually, or for Significant Change
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Address if they live in the home all of the time or part of the time, and why
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5318.pdf
de crease the Total Grant Budget amo unt, or change the scope of work, within the grant year. For Amendments involving a change to the scope of work, please attach ad
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Harvesters Amendment 1 and 2 FY22-23.pdf
*physical address required, including 9-digit zip code **the Total Expense for this column
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If the requested funding change is less than 10% of the (original) line item amount from
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https://www.dcf.ks.gov/Agency/Operations/Documents/Revision(OGC-1008.3).pdf
strong families make a strong Kansas Kansas Department for Children and Families 2013 Annual Report The Kansas Department for Children and Families (DCF) is focused on protecting
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https://www.dcf.ks.gov/Agency/Documents/2013DCFAnnualReport.pdf
decrease the Total Grant Budget amount, or change the scope of work, within the grant year . For Amendments involving a change to the scope of work, please attach
…
https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KCCTO WFD Amendment 1 and 2 SFY23.pdf
U.S. Department of Health and Human Services
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Docking State Office Building, 5 th Floor Topeka, Kansas 66612-1570
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Address: 915 SW Harrison, 5 th Floor, Topeka, KS
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https://www.dcf.ks.gov/services/PPS/Documents/Other/FinalVersionSWAssessment_February2015.pdf
change your name, address, or affiliation with a political party To register to vote, you
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please print) Previous Name Previous Residential Address (Street, City, State, Zip, County
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https://content.dcf.ks.gov/EES/KEESM/Forms/voterregistrationform.pdfView duplicates