FCL 658 Rev. 01/21 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_658-NRKIN.pdf
Van Buren PO BOX 1424 Topeka, KS 66601 Email: DCF.FCL@ks.gov Website: http://www.dcf.ks.gov
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Please complete this form and submit
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Agency Phone # Email Address
https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 658 NRKIN Expedited Application.pdf
RE: Applying for a social security number (SSN) for benefit eligible non-citizens
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2. Email each completed ES-4301 to the designated DCF official to print and wet sign
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https://content.dcf.ks.gov/EES/KEESM/Policy_Memo/22-11-03ApplyingForASocialSecurityNumberForBenefitEligibleNon-Citizens.pdfView duplicates
Kansas Department for Children and Families Backgrounds Division PO Box 1424 Topeka, KS 66601-1424 Fax: (785) 296-8609 DCF.FPTopeka@ks.gov 12/21
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Email
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By signing below, I/We am/are
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/Fingerprint_Results-Release_of_Information.pdf
66603 Website: http://www.dcf.ks.gov Email: DCF.FCLExceptions@ks.gov REQUEST FOR AMENDMENT
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Complete and return by email to: DCF.FCLExceptions@ks.govPage 1 of 2Describe
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 057 Amendment Facilities.pdfView duplicates
Is Vocational Rehabilitation the right program for you
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• VR serves people with any type of
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EMAIL ADDRESS CONTACT PERSON’S NAME AND PHONE NUMBER (someone who would be able to give you
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https://www.dcf.ks.gov/services/RS/Documents/RS Forms/VR Application_PDF.pdf
The Business Enterprise Program (BEP) in Kansas Rehabilitation Services
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Please email questions to
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for Information must be submitted no later than 10 a.m. October 8, 2010, via e-mail to
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https://www.dcf.ks.gov/services/RS/Documents/BEP_web_RFI_9-23-10.pdf
to Denise Stevens, Public Service Executive, via mail, fax or email (Denise.Stevens@ks.gov
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phone number, license number, and, if available, email address of the applicant or licensee
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/RequestforProgramReview.pdfView duplicates
Monthly invoices reporting line-item expenses for the invoiced month will be due by the 20 th day of the following month
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Grantees will submit invoices and supporting documentation in
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https://www.dcf.ks.gov/services/RS/Documents/OIB_Attachment E.pdf
to be Completed by the Birth Parent
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No ☐Yes If yes, please provide the following
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Have you lived outside of Kansas
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No ☐Yes, list where and dates
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Who lives in your home currently
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https://www.dcf.ks.gov/services/CSS/Documents/CSS Paternity Questionnaire 1.28.2020.pdfView duplicates