This is a mutual turnaround form to be used as documentation for both EES and RS. It can be initiated by EES or RS
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_____I request a consultation to discuss
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_____ Not eligible for RS based on
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https://content.dcf.ks.gov/EES/KEESM/Appendix/R-5_EES-RS_Monthly_Communiction_Report_01-21.docxView 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.pdfView duplicates
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
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
Acknowledgment of Referral / Change / Closure
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Address
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SECTION V Case Status Change
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☐ Court venue change (custody only / services transfer to another region
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☐ Family did not sign Family Case
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4205.docx
KANSAS LAWS AND REGULATIONS FOR LICENSING RESIDENTIAL CENTERS AND GROUP BOARDING HOMES FOR CHILDREN AND YOUTH
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permit, and each licensee that wants the department to display the address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Regulations GBH and Residential Centers 8.24.pdf
process outlines the processes when a consumer on a LIEAP case reports a change in address
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not run EDBC if the only update is an address change, unless the address is out of state
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/LIEAP_Change_in_Address_Process.htm
does not have the right to appeal a change in policy, and therefore the matter should be
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Name Address Signature
https://content.dcf.ks.gov/EES/KEESM/Appendix/B-4 2023 FA Allotment Motion to Dismiss.docView duplicates
Do NOT change the address of a child in Foster Care
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If the consumer/household did not report the change of address to the agency AND did not respond to
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Returned_Mail_Process.htm
Mental Health Provider Email Address
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Placement Address
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School Address
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would then be the school in which the child is enrolled at the time of the placement change
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If yes to questions 4 and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5254.docx