☐ Change of Child Placing Agency Name
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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 8.24.pdf
FOSTER CARE LICENSING DIVISION Physical Address: 500 SW Van Buren Topeka, KS 66603 Website
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form shall also be used to update any information as necessary, i.e., name or address change
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.pdf
and resources needed for a child’s
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Communication with CSS Who do I contact if my phone number or address has changed
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It is important to let Kansas CSS know if there is a change to your
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https://www.dcf.ks.gov/services/CSS/Documents/CP Handbook_08-2025-A.pdf
Kansas Department for Children and Families having a place of business at: DCF Administration Building 555 S Kansas Avenue Topeka, Kansas 66603 AND Kansas Big Brothers Big Sisters 624
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Big Brothers Big Sisters NOGA EES FY26.pdfView duplicates
The Economic
and Employment SERVICES Manual
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Change Report Form
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Address Change-Voter Registration Information
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Claim Balance Change-Overpayment Paid with Kansas Benefits Card
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https://content.dcf.ks.gov/ees/KEESM/Forms/Formstoc.htmlView duplicates
This includes updating the address if needed
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Purple: Change
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After claiming the Application or Change task go into the context of the case and claim all
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Non-Lobby_Process_(Dual_use_of_BPM_Tracker___KEES).htm
of the time you learn of them: your new address if you move, change in child care provider and/or hours of care
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You do not need to change your PIN number for your card
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/CC_Approval.htm
Due to the recent change in circumstances of an adult in your household (job loss, stopping
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for your household's size, changes in address, changes in child care providers or hours of
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/CC_Continuation_of_Care_Standard_Text.htm
R- e-ne_ w_a_l_ ✓-#-1 ----c (!J = :,. =-> . I I Change to Award I j�E-x-te_ n_ s-io _n_�
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2024 by and be tween Turner USD 202, whose address is 800 S 55th Street, Kansas Ci ty, KS
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/USD 202 Turner Family Resource Center Renewal 1 and 2 FY25-26.pdf
decrease the Total Grant Budget amount, or change the scope of work, within the grant year. For Amendments Involving a change to the scope of work, please attach
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Foster Adopt Connect BI Amend 2-3 FY24-25.pdf