Physical Address of Facility (Street Address
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Mailing Address if different than above
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license: License Number: Dates of Operation: Address on the previous/current license: Page 2
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 051 Application Facilities.pdf
NOTE: Once an initial address record is created, an update to an address for a child in foster care will generally
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If the user is recording a change in an Address, the
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Contact_Summary_-_PPS.htm
FCL 656 Rev. 09/25 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603 Website
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 656 CPA Withdrawal of Sponsorship.pdf
wing amendment ty pes) �R_ e_n_e _w_a_l _-�I I Change t o Award v' I .-I E-x- t- en_ s_i-on
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2025 by an d between JAG-K, who se address is PO Box 4199, Topeka, KS 66604 , hereinafter
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Jobs for America's Graduates Amend Extension FY26.pdf
FCL 402 Rev. 09/25 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren
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Physical Address of Home (Street Address
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Mailing Address if different from Above
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 402 FFH Renewal Application.pdf
FCL 004 Rev. 09/25 Kansas Department for Children and Families Foster Care Licensing and Background Checks Division
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Physical Address of the Family Foster Home City Zip Code County
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 004 NOSF for Sponsoring Agency Fillable.pdf
Provide DOB, race, gender and address for all person’s age 10 and older NOSF (Notice of
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Physical Address of Home (Street Address
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Mailing Address of home (if different from above
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 661 Relative and Non-Related Kinship Application 7.24 update.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov REQUEST FOR TRANSFER OF
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Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 655 Request to Transfer Sponsoring Child Placement Agency.pdf
Kansas Department for Children and Families Foster Care Licensing and Background Checks Division 500 SW Van Buren St ● 2 nd Floor ● Topeka
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Street Address City Zip Code County
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 009 Health Assessment.pdf
FCL 005 Rev. 09/25 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov
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Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 005 Yearly Mechanical Safety Check.pdf