E-mail Address: christine.lucero@acf.hhs.gov
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Address: 915 SW Harrison, 5 th Floor N, Topeka, KS
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E-mail Address: Tanya.Keys@srs.ks.gov
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E-mail Address: Deanne.Dinkel@srs.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/CFSRPIPQ6_6292010completerevisions8112010.pdfView duplicates
(FCCC) cases, change in contact information or address, changes in hours, or changes
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Is this change form for a change in contact information
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Phone Email Street Address
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-1512FC-CC Change Form.pdfView duplicates
to the Learning Quest Handbook that address how the CSSI account will be registered for your
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documentation on the CSSI Program Information Change Form that can be obtained from the
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https://www.dcf.ks.gov/services/CSS/Documents/Child Support Savings Iniative Program Description.pdf
The Kansas Department for Children and Families (DCF) is grateful for the valuable input received from the following individuals and organizations on the working group
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https://www.dcf.ks.gov/Agency/Documents/Crossover_Youth_Working_Group_Final_Report_to_Legislature_2020.pdf
U.S. Department of Health and Human Services
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Docking State Office Building, 5 th Floor Topeka, Kansas 66612-1570
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Address: 915 SW Harrison, 5 th Floor, Topeka, KS
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https://www.dcf.ks.gov/services/PPS/Documents/Other/FinalVersionSWAssessment_February2015.pdf
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
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES NOTICE OF USE OF PRIVATE HEALTH INFORMATION THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
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https://www.dcf.ks.gov/Agency/Documents/HIPPA-NOP.pdf
Language(s) Spoken in the Home
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July 2019 Page 3 of 7 (To be Updated Annually, or for Significant Change
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Address if they live in the home all of the time or part of the time, and why
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5318.pdf
to DCF any time there is a placement change, address change, or level of care change
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Check Change of Venue if: This is an acknowledgment of a referral due to a change of venue
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120_Instr.pdf
ESSA’s enactment, there was a need to address education issues more broadly to ensure Kansas
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held whenever a foster youth is changing placements and a change in school may be required
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2020/FC Oversight_education_testimonyfinal.pdf