Services at 1-888-7572445 or visit this website to obtain the office address information
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Name and address of your attorney
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Physical address: (If different than mailing address
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https://www.dcf.ks.gov/services/CSS/Documents/SS5033_9.2015.pdfView duplicates
State of Kansas ADOPTIVE PLACEMENT AGREEMENT PPS 5343 Department for Children and Families Rev
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a. Change of address
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Name Address Telephone Type of Information
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Residential Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5343.pdf
SECTION I: Note: This is a Change of Venue This was an open Family Preservation case
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Email address
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If ICWA applies, has tribe been
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Mother’s address
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Father’s address
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E-Mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.pdf
☐ 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
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
State of Kansas Appendix 7A Department for Children and Families
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REV Jul-15 Prevention and Protection Services Page 1 of 6
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State and Regional Youth Advisory Councils
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_7A.pdf
N, O, P, Q or R
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Change of address caused by P-EBT will be addressed at next IR or Review
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- Follow normal processes to update the address in KEES if the case head contacts the agency
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https://content.dcf.ks.gov/EES/KEESM/Policy_Memo/20-05-04Pandemic-EBTPhase1.pdfView duplicates
Section I: Check the box if this is a Change of Venue case and send the PPS 5110 to both
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Enter the name, address and telephone number, pager number or cell phone number and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110_Instr.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (CFDA) Number 93.558 DCF Award Number EES-2021-JAG-01 THIS AGREEMENT MADE THIS DAY BETWEEN Kansas Department for
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Jobs for America's Graduates JAG NOGA SFY21.pdf
State of Kansas Adoption Exchange Child Status
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E-mail address
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Change of Venue (when that venue is moved to another contractor
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Name of new contractor: Date of change of venue
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5315.pdf