FOSTER HOME LICENSING APPLICATION CHECKLIST An Initial application packet for a foster care license
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Please submit the following DCF forms
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FCL 002 KBI/DCF Background check
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_401_FFHApplication.pdfView duplicates
KANSAS DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES
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th Floor
915 SW Harrison Street
Topeka
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by Last Name of the Oldest Child) PHONE NUMBER E-MAIL Janet Kuntzsch (A-L) 785-296-8133
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https://www.dcf.ks.gov/services/PPS/Documents/ICPCtrainingmanual.pdf
The ReliaCard is issued by U.S. Bank National Association pursuant to a license from Visa
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to be notified by either text or e-mail and managed through the U.S. Bank ReliaCard Mobile
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https://www.dcf.ks.gov/services/CSS/Documents/KPC_FAQs for Payment Received_v2.pdf
Email: jalbert@mchks.com
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Email: erna.schmidtberger@haysmed.com
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Email: suicor@hhf.ks.org
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Email: carol.schopf@mercy.med
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Email: collection@ohscompare.com
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Email: rcradic@saint.lukes.org
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/collection-site-address-list 7-1-14.pdfView duplicates
agency or worker’s agency will scan and e-mail the application to a central DCF-EES mailbox
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or worker’s agency will cc you on the e-mail they send to submit your application to EES
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https://www.dcf.ks.gov/services/PPS/Documents/Guide for Foster Caregivers.pdf
: • Locating information • Establishing or enforcement of an order • Modifying a child support amount • Reporting new information • Learning more about the Family Violence Indicator
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https://www.dcf.ks.gov/services/CSS/Documents/CSS5000 final 1.17.2019 v2.0.pdf
The purpose of this booklet is to help explain vocational rehabilitation services (VR) — how it works and how you can make it work for you
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Keep this booklet handy so you
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Email Address
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https://www.dcf.ks.gov/services/RS/Documents/RS Forms/Your Guide to VR Services_1.pdf
H E N R I C K S
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O C T O B E R 2 0 , 2 0 2 0
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Family Foster Home (FFH) identifies and selects a sponsoring
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The FFH goes through orientation with its chosen sponsoring CPA
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2020/FCOCH - FC Licensure - Final Draft.pdf
State of Kansas Department for Children and Families Prevention and
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Email Address
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Registrar’s Office: Please email this form to the Kansas DCF Administration Office at
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(EMAIL ONLY
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7260.pdf
Date of Birth: Cell Phone: ( ) E-mail: Cell Phone: ( ) E-mail: Race/Ethnicity: (check all that apply
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5320.pdf