B. Who is the child in Foster Care being added to or
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This form provides a method to add or remove a child on Foster Care Child
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Phone Email Street Address
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Representative Contact Email
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-1512FC-CC Change Form.pdfView duplicates
Family First Regional Email (check one below
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☐ Attach and email all forms to the grantee/provider, regional Family First mailbox and your
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Use the email subject line
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS4310.pdf
ARCare Trusts and supplemental needs/care trusts are exempt as a resource
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These trusts do not need to be submitted to the Food Assistance Program Manager for TANF or food assistance
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https://content.dcf.ks.gov/EES/KEESM/Appendix/B-6_Request_for_Trust_Annuity_Clearance_05-16.pdfView duplicates
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
A. Case Information (to locate case) B. Who is the
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Social Security Number Phone Email Street Address
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Printed Name of FC CMP/CPA Representative Representative Contact Email
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https://www.dcf.ks.gov/services/PPS/Documents/FC-CC Change Form.pdfView duplicates
State of Kansas Department for Children and Families Prevention and Protection Services Appendix 9D July 2015
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Conversion of Intrastate Placement into Interstate Placement; Relocation
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_9D.pdf
Client email address (if known
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If client has obtained employment in their field of study, please complete
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Copy to: CCDF Program Specialist, Administrative Office
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-1640a_8_14.pdfView duplicates
ADULT PROTECTIVE SERVICES N E W W O R K E R O V E R V I E W A U G U S T 2 0 1 6 Strong Families Make a Strong Kansas AGENDA- DAY 1
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• APS Emergency Funds- PPM 10512 and 10900
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https://www.dcf.ks.gov/services/PPS/Documents/APS/APSNewWorkerBootcamp.pdf
Thank you for your interest in
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Telephone Number: Alternate Telephone Number: Email Address: Are you exempt from
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Name: Address: Telephone Number: Fax Number: Email Address
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-13 ES-1651 Unregulated Child Care Provider Enrollment -DCF.pdfView duplicates
State: Zip: Primary Telephone Number: Alternate Telephone Number: Email Address
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Can this email address be used to make contact
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-14 ES-1652 In-Home Child Care Provider Enrollment -DCF.pdfView duplicates