for Amendment Use this form to request a change of the family foster home license capacity
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Submit the completed request and supporting documents to DCF.FCLExceptions@ks.gov
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Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 407 Family Foster Home Request for Amendment.pdf
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
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
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
☐ Change of Child Placing Agency Name
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☐ Change of program type
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Agency Name: Licensed Program Type: Facility Address: License Number: I/we request an
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 652 Amendment for CPA.pdf
☐ 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
Permanency Objective # __ What behavioral change is expected: Activity # Measurable
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Need Description Response/Service to Address Received Timely Treatment on this date
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3051.doc
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
Foster Care Licensing Division: 555 SW Kansas Avenue, 2nd Floor Topeka, KS 66603
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wants the department to display the address and the telephone number of the individual's
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Regulations GBH and Residential Centers 8.24-A.pdf