SECTION I: Note: This is a Change of Venue This was an open Family Preservation case
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Email address
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If ICWA applies, has tribe been
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Mother’s address
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Father’s address
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E-Mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.pdf
List of suggested bidders, including name, address and e-mail address if available
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weaknesses of each proposal with an attempt to address items including (but not limited to
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2017/2017 Session DCF Testimony to House Federal and State Affairs on HB 2201.pdf
State of Kansas Department for Children and Families Prevention and Protection
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Change of Placement Purpose
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(2) The identity and address or addresses of the parents or legal guardian
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_9D.pdf
(a) “Child placing agency” or “agency” means an association, organization, or corporation receiving, caring for, or finding homes for orphans or deprived children who are under 16 years
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_ChildPlacingAgencies/Child_Placing_Agencies_Regulations.pdf
FCL 002 Rev 2/2019 Page 1 OF 1 KANSAS
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Initial application (new facility, move, or change of ownership
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CURRENT ADDRESS
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Street Address City State Zip
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_002_Individual_Background_Check_Request.pdfView duplicates
Section I: Check the box if this is a Change of Venue case and send the PPS 5110 to both
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Enter the name, address and telephone number, pager number or cell phone number and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110_Instr.pdf
may be or has been subject to a name change at the time of adoption; the party requesting
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this Authorization with the final decree of adoption verifying a change of name, if any
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5365.pdf
Nutrition Services and In-Home Services Home and Community Based Services
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Services to SeniorsGraying of America 4 • In less than two decades (thirteen years), the graying of America
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2021/DCF KDADS Children and Seniors.pdf
Department for Children and Families Appendix 7E Prevention and Protection Services REV
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and the following steps taken to address and resolve instances of inaccurate information or
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_7E.pdf
KANSAS DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES
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Please address referrals or questions to the appropriate staff below
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Regulation 8 -- Change of Placement Purpose
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https://www.dcf.ks.gov/services/PPS/Documents/ICPCtrainingmanual.pdf