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
FCL 659 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Rev. 02/21 Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603
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Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 659 Relative Waiver.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
Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov Email: DCF.FCL@ks.gov
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Family Foster Home Renewal Application Checklist
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Submit the Following Documents with the
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FFH Renewal Application.pdf
This is your application for Foster Care Child Care (FC-CC) offered through the Department for
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E-mail: Provide
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https://www.dcf.ks.gov/services/PPS/Documents/FC-CC Application.pdf
Summer Work-Based Learning Experiences for Pre-Employment Transition Services (Pre-ETS
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contact information including an appropriate email address. • The student learns how to find
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Service Description_Providers_SumerPaidWBL- 12-01-2021.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
Nationwide List of Child Abuse/Neglect Registry Links
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California does not do out of state
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of Child & Family Services Form If no response after 15 business days, please EMail DCFS
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Nationwide CAN Links PDF.pdf
Section 11 / Part 15 Effective Date: August 20, 2007 Length of document: 5 pages
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time commitment and could include phone, email communications and travel to on-site meetings
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Contracts/Section 11 Part-15_Rehab_engineering.pdf
*physical address required, including 9-digit zip code **the Total Expense for this column MUST EQUAL ZERO ***Indirect Costs may not exceed 10% of the Contract Budget
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https://www.dcf.ks.gov/Agency/Operations/Documents/Contract Revision(OGC-2005) ACCESSIBLE 5-17.pdf