be sent to the mailing address or email listed above with appropriate payment (see Payment
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Return Results by: Encrypted email (list if different than above): Postal Mail
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/OBI_1011_CAN_ROI.pdf
The Income Withholding for Support (IWO) is the OMB-approved form used for income withholding in
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• Tribal, intrastate, and interstate cases enforced under Title IV-D of the Social
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https://www.dcf.ks.gov/services/CSS/Documents/iwo_instructions.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Independent Living Subsidy Payment Unit Notification PPS 7210 REV 07/15 Page 1 of
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7210.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
STUDENT EMAIL ADDRESS EXPECTED DATE TO COMPLETE OR EXIT HIGHSCHOOL CURRENT GRADE LEVEL OF
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IF NO, DO YOU HAVE AN
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PARENT, GUARDIAN, REPRESENTATIVE PHONE CELL PHONE EMAIL ADDRESS 4/2/2019
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https://www.dcf.ks.gov/services/RS/Documents/RS Forms/Pre-ETS_Request_2.pdf
EMAIL
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555 S Kansas Ave Topeka, KS 66603
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Kansas Department for Children and Families Foster Care Licensing and Background Checks Division
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320 S Broadway St Pittsburrg, KS 66762
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Foster Care Licensing and Background Checks Divison Contact.pdf
to be Completed by the Birth Parent
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No ☐Yes If yes, please provide the following
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Child Support Services by mail PO Box 552 Lawrence, Kansas 66044; fax 844-682-2171; or email
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https://www.dcf.ks.gov/services/CSS/Documents/CSS Paternity Questionnaire.pdf
SHE DREAMS OF COLLEGE TOGETHER, WE CAN MAKE THAT DREAM HAPPENYOUR CHILD GETS HIGHER EDUCATION YOU GET DEBT
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Noncustodial Parent’s Email Address
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https://www.dcf.ks.gov/services/CSS/Documents/529 Custodial Arrears Booklet 11.16.16.pdf
DCF E-mail address
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Child Welfare (CW) Agency CW Agency
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CM Email_Email
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Address (facility or resource parent names, state, city, county & zip code
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Click or tap here to enter text
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10600B.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