III Provider Staff Assigned: If change, list reason: Address: Worker Phone #: 24 Hour Access Phone
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Same school with grade level change
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School Change: District
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120.doc
Yes No Date of Change:Date of change: 5. Child graduated from high school
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DCF worker: DCF Office: Street Address: City, State, Zip: Telephone #: Fax
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6170.doc
: When submitting an application, either an initial or renewal, do I need to have all documents
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also submit documents via fax at (785)296-8609 or by sending them to the following address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FAQ.pdf
resource will not be used, (4) report a change in the placement resource and/or type of care, (5) report a change of address, and 6) close an ICPC case
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It is an extremely useful tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9135_instr.docView duplicates
to: Date of Change: Name of New Payee: Payee’s Phone: Address of
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Other Changes: Type: Date of Change: Multi-Month Distribution
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5928.doc
Address of New Payee Reason for Change: Provide a brief explanation for change, ie, child entered DCF custody on 9/15/06
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Other Date of Change: Effective date of this change
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5928_instr.doc
placed in care, a report of the name, address and birthdate shall be filed with the Kansas
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(B) the name, address and telephone number of a physician to be called in case of
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_Regs_Laws/Gen_Regs_122-132_pg27.pdf
HOW DO I REPORT A CHANGE OF ADDRESS TO THE KANSAS PAYMENT CENTER
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HOW DO I CHANGE FROM DIRECT DEPOSIT TO PREPAID DEBIT CARD
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https://www.dcf.ks.gov/services/CSS/Documents/KPC_FAQs for Payment Received_v2.pdf
KANSAS LAWS AND REGULATIONS FOR LICENSING PRIVATE CHILD PLACING AGENCIES Department for Children and Families March 2022 Foster Care Licensing Division 555 SW
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Child Placement Agency Laws and Regulation Book 2022.pdfView duplicates
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.doc