to be Completed by the Birth Parent
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No ☐Yes If yes, please provide the following
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Have you lived outside of Kansas
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No ☐Yes, list where and dates
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Who lives in your home currently
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https://www.dcf.ks.gov/services/CSS/Documents/CSS Paternity Questionnaire 1.28.2020.pdfView duplicates
Individuals who wish to submit comments in writing may email
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To request a sign language interpreter or other accommodation for the hearing, please email
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/Register_Notice_Publication_Date_5-15-14.pdf
The State Plan for Federal Fiscal
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Individuals who wish to submit comments in writing may email
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To request a sign language interpreter or other accommodation for the hearing, please email
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/Register_Notice_Publication_Date_5-9-2013.pdf
Standard Language For Grants And Contracts Where Protected Health Information Will Be Exchanged
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(Steps 1-5 may be completed by the
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Work phone, home phone, fax and e-mail of the vendor
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https://www.dcf.ks.gov/services/RS/Documents/Provider_Agreement_Packet_0513_BG.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES REQUEST TO FINGERPRINT
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OBI 2001 9/2018 Page 1 OF 1
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The individual is a current or potential
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Results will be returned via encrypted email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/fingerprints/Request to Fingerprint 9 2018.pdf
FCL 051 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Rev. 01/21 Foster Care Licensing and Background Checks Division PO Box 1424 Topeka, Kansas 66601-1424
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Complete and return by email to
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 051 Application Facilities.pdf
requests, whenever possible, it is helpful if an email is sent or a phone call made to the
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will be processed and the CPA notified via email of approval or denial of the request within
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/ExceptionFosterHomePolicy_6-13-2018.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Foster Care Court Report PPS 3004 July 2022 Page 1
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Reports to be provided to the courts in
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3004.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Referral to DCF for Continued
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(Email to DCF 30 days prior to the end of aftercare
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E-Mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5M.pdf
Hope for the Holidays 2018 Holiday cheer is in the air
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Share yours with youth from foster care
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please call 785-296-3944, or send an email to dcf.H4H@ks.gov. Department for Children and
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https://www.dcf.ks.gov/services/PPS/Documents/Hope4Holiday/H4H Bulletin Instert 2 per page 2018.pdf