review or interim report o Notification of change of address or name ▪ Agency Obligations o Distribute
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/1.30 HWR DCF Voter Registration Memo.pdf
for Amendment Use this form to request a change of the family foster home license capacity
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Submit the completed request and supporting documents to DCF.FCLExceptions@ks.gov
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Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 407 Family Foster Home Request for Amendment.pdf
☐ 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.pdfView duplicates
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
Services FC/AD NOTIFICATION OF MOVE/PLACEMENT/CHANGE PPS 5120 REV. Jan -2025 Page 1 of 3
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Previous Placement Name and Address
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Change of status for sibling(s) remaining in the home
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120.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
Foster Care Licensing Division: 555 SW Kansas Avenue, 2nd Floor Topeka, KS 66603
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wants the department to display the address and the telephone number of the individual's
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Regulations GBH and Residential Centers 8.24-A.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 PROGRAM
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Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 007 Request for Program Review.pdf
FCL 300 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 300 FFH Budget Form.pdf
Out of Home Change of Venue
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CWCMP Notification to DCF of a Move, Placement or Change
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appendices include revisions affecting the meaning or involves a change to practice
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of PPS Policy and Procedure Manual Changes January 2025.pdfView duplicates