Payee Change
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Address of New Payee
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Reason for Change
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Placement Change
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Old Address
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Income Change
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Resource Change
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Name & Address of School
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DCF: For clients 17-1/2 complete and mail
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Date of Change
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5928.pdf
Facility Name: Licensed Program Type: Facility Address: License Number: I/we request an
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each request is to increase capacity, expand the age range, or to change the living units
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 057 Amendment Facilities.pdf
E-mail Address: christine.lucero@acf.hhs.gov
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Address: 915 SW Harrison, 5 th Floor N, Topeka, KS
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E-mail Address: Tanya.Keys@srs.ks.gov
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E-mail Address: Deanne.Dinkel@srs.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/CFSR_PIP_Q7_Final.pdf
Email address
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following changes and return to the designated office within thirty (30) days of the change
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Date of Change
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Street Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6170.pdf
If you would like to be added to the
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Help add positive change to as many families as possible
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to stably remain at home, being open to change and being willing to develop a safety plan
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https://www.dcf.ks.gov/services/PPS/Documents/FF-newsletters/February 2020_Prevention Newsletter.pdf
evaluate outcomes and direct new funds to address gaps in services and target populations
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that tends to be resistant to change, highly transient and often needing more than one
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2008/HB-2879-Fourth_or_SubsequentDUI.pdf
INVESTIGATION OF CHILD ABUSE AND NEGLECT Frequently Asked Questions: Investigation Process
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Under what circumstances is a joint investigation required under Kansas law
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https://www.dcf.ks.gov/services/PPS/Documents/GuidetoReportingAbuseandNeglect.pdf
forms appendices include revisions affecting the meaning or involves a change to practice
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and allowing our external partners and DCF address those barriers to ensure the rights for
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of Changes/Summary of Changes - 2023.7.pdf
be updated whenever there is a name or address change, or a change in role type or when the individual leaves the
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL002 Guidance Document.pdf
Case 2:18-cv-02617-DDC-GEB Document 140 Filed 09/09/20 Page 1 of 10
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UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS
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M.B. and S.E. through their next friend Katharyn McIntyre
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https://www.dcf.ks.gov/Documents/Settlement/OrderGrantingUnopposedMotionforSettlement.pdf