☐ Change of Child Placing Agency Name
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Agency Name: Licensed Program Type: Facility Address: License Number: I/we request an
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 652 Amendment for CPA 8.24.pdf
FOSTER CARE LICENSING DIVISION Physical Address: 500 SW Van Buren Topeka, KS 66603 Website
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form shall also be used to update any information as necessary, i.e., name or address change
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.pdf
wing amendment ty pes) �R_ e_n_e _w_a_l _-�I I Change t o Award v' I .-I E-x- t- en_ s_i-on
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2025 by an d between JAG-K, who se address is PO Box 4199, Topeka, KS 66604 , hereinafter
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Jobs for America's Graduates Amend Extension FY26.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (CFDA) Number 93.575 DCF Award Number EES-2025-KEHSCCP-09 THIS AGREEMENT MADE THIS DAY BETWEEN Kansas Department
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KU Project Eagle CCP NOGA FY25.pdf