Kansas Child Support Services Title IV-D Policy Manual Kansas Child Support Services Title IV-D Policy Manual 1 | P a g e TABLE OF
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74 Change of Circumstances
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154 Change in Circumstances
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https://www.dcf.ks.gov/services/CSS/Documents/KCSSPM.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
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 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
Date Placed: Previous Placement Name Address: Address: From: To: Current Placement Name: Address: Address: From: Medicaid Card Mailing Address (if different
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5460.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd Floor
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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 662 Relative and Non-related Kinship Renewal 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
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
e_ n_e _w _a_ l ___ #_ n/_a�[ I Change to Award ✓ I j�E_x_t-en_ s_ i-on __ _ This amendment
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and between Friends of Yates, Inc., whose address is 1418 Garfield Avenue in Kansas City, KS
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Friends of Yates DVSA Wyandotte Amendment 1 and 2 FY25.pdf