☐ Change of Child Placing Agency Name
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☐ Change of program type
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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.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
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
care. trauma-informed care. “We are not here to change the “We are not here to change the whole dynamic of the family. whole dynamic of
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Please use the same address for questions
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/FunctionalFamilyTherapy_FTTForm_Brochure.pdf
Legislative Update Andrea Warnke, Deputy Director of Government Affairs
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bill was heavily worked in committee to address concerns by opponents but ultimately did not
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https://www.dcf.ks.gov/Documents/Stakeholder/DCF Stakeholder Meeting 2025.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
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Who Should use this form: This form
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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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Street Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.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