DCF staff taking a report of a change of address or name change by
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or in person should inform the individual that a change of address or name requires new voter registration and
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https://content.dcf.ks.gov/EES/KEESM/Current/keesm1731.htmView duplicates
review or interim report o Notification of change of address or name ▪ Agency Obligations o Distribute
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/1.30 HWR DCF Voter Registration Memo.pdf
When a change in status occurs that does not effect the provider's eligibility to do business with the agency (i.e., - name change on license but no lapse in licensure
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https://content.dcf.ks.gov/EES/KEESM/current/keesm10030.htmView duplicates
REV. Jan -2025
Page 2 of 2
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State of Kansas FC/AD NOTIFICATION OF MOVE/PLACEMENT/CHANGE PPS 5120
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Placement Name and Physical Address
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Change of status for sibling(s) remaining in the home
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120.docxView duplicates
What is the Child Care Provider Handbook? 5
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SECTION II: General Information for All DCF Child Care Providers 6
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Violations of the Provider Agreement 9
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Sample Consent for Medical Care Form
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https://content.dcf.ks.gov/ees/KEESM/Robo02-25/NewForms02-25/C10.docxView duplicates
Change in status with sponsoring agency regarding health and safety standards
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Change in operation (e.g., name change, address, telephone numbers, ownership, household members
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https://content.dcf.ks.gov/EES/KEESM/Current/keesm10034.htmView duplicates
Complete the section(s) regarding the change(s) you are reporting
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Change in the number of hours that child care is needed or used
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☐ Address Change
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What is your new address
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-1512.docxView duplicates
☐ Initial Request ☐ Change ☐ Suspend / Terminate Date Effective: Date Effective: Date
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7210.docView duplicates
Department for Children and Families REV. Jul 2025
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This plan shall be collaboratively created by the youth or young adult, the case management team, and supportive
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059A.docx
AS THE SOUL FAMILY LEGAL PERMANENCY RESIDENTIAL CUSTODIAN: (initial each statement
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______I have received a copy of the PPS 6320, SOUL FAMILY LEGAL PERMANENCY Change Status Form
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6302.doc