Section 11 / Part 1 Effective Date: April
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Work phone, home phone, fax and e-mail of the vendor
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Name Address City State ZIP E-Mail FAX # Tax ID# Work Phone FEIN/SSN Home Phone License
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Provider_Agreement_Packet.pdf
FCL 004 Rev. 06/24 Kansas Department for Children and Families Foster Care Licensing and Background Checks Division 500 SW Van Buren PO BOX 1424
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Phone Number Fax Number E-Mail
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 004 NOSF for Sponsoring Agency Fillable.pdf
Child Abuse Review and Evaluation Referral
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Department for Children and Families (DCF) to make referrals to Medical Resource
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a Medical Resource Center or CARE Provider through email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2451.pdf
Attachment 4.11(a): Comprehensive statewide needs
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Numerous activities contribute to the ongoing assessment of the rehabilitation needs of Kansans with disabilities
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/4 11(a)_CSNA.pdf
Child and Family Services Reviews Program Improvement Plan Kansas
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Submitted To: U.S. Department of Health and Human Services April 3, 2024 555 S Kansas Ave, 1 st Floor Topeka
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas R4 PIP Approved Plan.pdf
Provide the names and affiliations of the individuals who participated in the statewide assessment process; please also note their roles in the process
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas Statewide Assessment 2023.pdf
OTHER COMMISSIONS, COMMITTEES, AND TASK FORCES Report of the Child Welfare System Task Force to the 2019 Kansas Legislature CHAIRPERSON: Senator Vicki Schmidt VICE-CHAIRPERSON
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https://www.dcf.ks.gov/Agency/CWSTF/Documents/Child Welfare System Task Force Report.pdf
COMMUNITIES HELPING FAMILIES Every school can use the local DCF Service Center as an access point for information to help the Smiths find
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Available by email at: 1800children@kcsl.org
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https://www.dcf.ks.gov/services/PPS/Documents/FY2021DataReports/MiscWebPostings/CommunitiesHelpingFamilies.pdf
THIS AGENCY HAS BEEN APPROVED BY THE KBI TO SUBMIT FINGERPRINTS ELECTRONICALLY
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PLEASE SUBMIT COMPLETED FINGERPRINT SUBMISSION VIA LIVESCAN
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Failure to follow instructions may result in
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/LEA-DCF Forms.pdf
State of Kansas Department for Children and Families Prevention and Protection Services FOSTER CARE CASE TRANSFER SUMMARY PPS 3006 July
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Contact Information (name/email/phone/address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3006.pdf