☐ 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
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
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
is found in KEES and reports a new address, click the Edit button on the Registration Person Detail page to add the address while completing the manual file clearance process
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/e-Applications.htm
NOTE: If some Program Persons need to be Rescinded and
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See Add Address for more information
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Change the Display Date to the month the reapplication takes place (the Application month
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Reapply_Program_-_Non-Medical.htm