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
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 657 CPA Request for Exception.pdf
Provide DOB, race, gender and address for all person’s age 10 and older NOSF (Notice of
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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 661 Relative and Non-Related Kinship Application 7.24 update.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
TITLE IV-B CHILD AND FAMILY SERVICES PLAN Submitted To
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U.S. Department of Health and Human
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and expertise to achieve a system in which significant and real change can be accomplished
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas TITLE IV-B CFSP 2025 - 2029-A.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
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing and Division
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Name of Child Age Name of Home/Facility
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Oral Debris/Hard Soft Deposits: (circle one
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 054 Continuous Dental Form.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd
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Name on License: Address: City: I/we have provided Foster Care Services for (insert
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 406 Family Foster Home Request to Close.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
The contents of the PPS Policy and Procedure Manual include: A. Policies which define required or prohibited actions
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Policies may contain the following language: 1. Statements
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Policy_and_Procedure_Manual_January2025.pdfView duplicates