Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 403 FFH Survey Instrument-CPA.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Soul Family Legal Permanency Change in Status Form PPS 6320 07/24 Page 1 of 1
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6320.pdf
State of Kansas Appendix 5E Department for Children and Families January 2013 Prevention and Protection Services Page 1 of 1
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http://travel.state.gov/consularnotification or email at
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5E.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Permanent Custodianship Annual Report PPS 6165 Rev. 01/14 Page 1 of
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Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6165.pdf
*physical address required, including 9-digit zip code
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This grant shall remain in effect, subject to the terms and conditions stated in the original Notification of Grant
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC Renewal 1 and 2 SFY23.pdf
Grant RFP: Individualized Adoption Support Grant(s) RFP
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E-Mail Address
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Agency: Kansas Department for Children and Families
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Conditions: Please see response to questions below
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https://www.dcf.ks.gov/Agency/Operations/Documents/Old RFP's and RFP Amendments/Individualized Adoption Support RFP Amendment 1.pdf
Notification of Grant A ward (NOGA) Under Federal Grant A ward (ALN) Number 93-472 DCF A ward
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer .goodman@ks.gov (2) To Grantee: Kansas
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KPATA Family First NOGA SFY24.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (ALN) Number 93-472 DCF Award Number
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer.goodman@ks.gov (2) To Grantee: TFI
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/TFI Family First NOGA SFY24.pdf
Strong Families Make A Strong Kansas
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REQUEST FOR PROGRAM REVIEW OF SURVEY FINDINGS
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phone number, license number, and, if available, email address of the applicant or licensee
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/REquestForProgramReview.pdfView duplicates
**Indirect Costs may not exceed 10% of the Grant Budget
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**A copy of any previously approved Amendment(s) and/or Renewal(s), as well as a NEW FFATA form, must be included with this request
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Harvesters Amendment 1 and 2 FY22-23.pdf