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
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov REQUEST FOR TRANSFER OF
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Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 655 Request to Transfer Sponsoring Child Placement Agency.pdf
FCL 004 Rev. 09/25 Kansas Department for Children and Families Foster Care Licensing and Background Checks Division
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Physical Address of the Family Foster Home City Zip Code County
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 004 NOSF for Sponsoring Agency Fillable.pdf
FCL 100 Rev. 09/25 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 100 Request to Withdraw Application.pdf
Physical Address of Facility (Street Address
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Mailing Address if different than above
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License Number: Dates of Operation: Address on the previous/current license: SECTION VII
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 651 CPA Application.pdf
FCL 660.1 09/25 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van
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Removes requirement for visible address, emergency plan posted, fire and
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 660.1 Family Foster Home and Non-Related Kinship-Relative Comparison.pdf
FCL 402 Rev. 09/25 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren
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Physical Address of Home (Street Address
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Mailing Address if different from Above
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 402 FFH Renewal Application.pdf
Physical Address of Facility (Street Address
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Mailing Address if different than above
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license: License Number: Dates of Operation: Address on the previous/current license: Page 2
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 051 Application Facilities.pdf
Provide DOB, race, gender and address for all person’s age 10 and up
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Call, text, or chat with the
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Physical Address of Home (Street Address
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Mailing Address of home (if different from above
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 401 Family Foster Home Application.pdf
FCL 005 Rev. 09/25 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov
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Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 005 Yearly Mechanical Safety Check.pdf