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
Facility Name: Licensed Program Type: Facility Address: License Number: I/we request an
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each request is to increase capacity, expand the age range, or to change the living units
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 057 Amendment Facilities.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Who Should use this form: This form
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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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Street Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.pdf
assistance for failure to report a change for cash or medical assistance purposes, unless the change was also required to be reported for
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https://content.dcf.ks.gov/EES/KEESM/current/keesm9123.htmView duplicates
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
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
FCL 100 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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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 100 Request to Withdraw Application.pdf
Physical Address of Facility (Street Address
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Mailing Address if different than above
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License Number: Dates of Operation: Address on the previous/current license: SECTION VII
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 651 CPA Application.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
To Change Foster Care Placement
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NOTE: An address change for a child in foster care will generally only occur when the
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Click the Add button if an address change is needed
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Change_in_Foster_Care_Placement.htm