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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N, O, P, Q or R
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https://content.dcf.ks.gov/EES/KEESM/Policy_Memo/Pandemic-EBTPhase3PolicyMemo.pdfView duplicates
FCL 002 Rev 2/2019 Page 1 OF 1 KANSAS
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Initial application (new facility, move, or change of ownership
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CURRENT ADDRESS
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Street Address City State Zip
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_002_Individual_Background_Check_Request.pdfView duplicates
obtain written approval from the secretary before making any change in any of the following
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the school district at least 90 days before the anticipated date of any proposed change
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_Residential_Center_Group_Boarding/Res_Center_Grp_Boarding_Regs.pdf
: 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
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
Placement Change
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Send Medicaid card to the current placement address indicated above
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Name of Insurance Company: Insurance Company's Address: Employer: Medical: Yes No
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5460.doc
Department for Children and Families 07/2023
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The purpose of the Gail Finney
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(10) address the court regarding any proposed placement or placement change in accord with KSA 38-2262, and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5138.docx
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
appropriate UNIN screen(s). 2. Mass Change Instructions for the Medical Programs - A mass change run will be performed on 11/18/99 which will
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2000_0101_COLA.pdfView duplicates
appropriate UNIN screen(s). 2. Mass Change Instructions for the Medical Programs - A mass change run will be performed on the evening
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2004_0101_COLA.pdfView duplicates