Email
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B. Type of Agency ☐Public ☐Private Non-Profit ☐Private Profit
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C. Official Authorized to Sign Application
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F. Type of Application ☐New ☐Revision ☐Continuation of Grant
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https://www.dcf.ks.gov/services/RS/Documents/OIB_AttachmentA.pdf
and fees are to be sent to the address or email listed above (see below for specifics
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*Release of Information forms may be submitted via email to
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https://www.dcf.ks.gov/services/PPS/Documents/OBI_1011_CAN_ROI.pdf
Address City, State, Zip Phone Number Email K. Financial Officer Name Title Street Address City, State, Zip Phone Number Email L. Authorizing Official*** Name Title Street
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https://www.dcf.ks.gov/Agency/Operations/Documents/Grant Information Sheet rev accessible.pdf
Approved for 4 hours of the
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Contact: Crystal Fox Email: crystal.fox@fosteradopt.org Phone: 913-717-0211 Web: https://www.childally.org/kinship Email: learn@childally.org Phone: (785
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https://www.dcf.ks.gov/services/PPS/Documents/KinshipResources.pdf
Scroll down to the bottom right area
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If an email address and mobile phone number are both entered, consumers must select both mobile phone number and personal email in the next section
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https://www.dcf.ks.gov/Documents/P-EBT/P-EBT Application desk aid.pdf
Email
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Regulatory Compliance and Quality Assurance Administrator, Supervises the FCL Admin staff, Racheal Sain
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Supervises Regional Supervisors and Training Specialist
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Licensing Staff Contact List.pdf
Non-KORA Agency Records Request Form * REQUESTOR INFORMATION
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Requestor Work Email
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Please provide the following information on the person whose Kansas DCF case history is being
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https://www.dcf.ks.gov/Records/Documents/Non-KORA-Agency-RecordsRequestForm.pdf
Please email this enrollment form along with a copy of your child support order, income
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If yes, how would you like to receive the surveys: ☐Text ☐Email ☐Both, text & email
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https://www.dcf.ks.gov/services/CSS/Documents/CSS Enrollment Form.pdfView duplicates
Agency name Agency mailing address Email address: Will return via Encrypted email unless marked otherwise
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/OBI10400.pdfView duplicates
Inc. 731 N Water Suite 2 Wichita, KS 67203 Phone: 316-267-3825 Fax: 316-267-3843 E-Mail
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Wichita 122 N Millwood Wichita, KS 67203 Phone: 316-265-6011 Fax: 316-265-4022 E-Mail
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2008/HB-2879_AttachmentMap.pdf