Preferred Name to be addressed by
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Transfer Level of Service (Change in staff responsible for the case: FC/RE/AD to aftercare
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Change of venue or tribal court jurisdiction
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Mother’s Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3006.pdf
List of suggested bidders, including name, address and e-mail address if available
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weaknesses of each proposal with an attempt to address items including (but not limited to
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2017/2017 Session DCF Testimony to House Federal and State Affairs on HB 2201.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
KANSAS DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES
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Please address referrals or questions to the appropriate staff below
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72
Regulation 8 -- Change of Placement Purpose
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https://www.dcf.ks.gov/services/PPS/Documents/ICPCtrainingmanual.pdf
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 Department for Children and Families Prevention and Protection
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Change of Placement Purpose
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(2) The identity and address or addresses of the parents or legal guardian
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_9D.pdf
may be or has been subject to a name change at the time of adoption; the party requesting
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this Authorization with the final decree of adoption verifying a change of name, if any
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5365.pdf
KANSAS LAWS AND REGULATIONS FOR ATTENDANT CARE FACILITIES FOR CHILDREN AND YOUTH March 2022 Foster Care Licensing Division 555 SW Kansas Avenue, 2nd Floor Topeka, KS
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Attendant Care Center Laws and Regulation Book 2022.pdf
new application shall be required for each change of ownership, sponsor, or address of the facility
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_AttendantCare/Regulations_for_Attendant_Care.pdf