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
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/FCL 402 FFH Renewal Application.pdf
Evaluation Referral Click here to open email to: mailto:SafeCareKS@cmh.edu Once email opens, attach saved form PPS 2450 Rev
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PPS SPECIALIST’S EMAIL ADDRESS
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2450.pdf
Street 2 nd Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov Email: DCF.FCL@ks.gov
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Topeka, Kansas 66603 Website: http://www.dcf.ks.gov Email: DCF.FCL@ks.gov FCL 662 Rev. 06/24
https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 662 Relative and Non-related Kinship Renewal Application.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
at least the report source, your name, state, email, relationship to the victim, and a phone
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Reporter’s email address is important to ensure that we can properly address the concern in
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https://www.dcf.ks.gov/services/PPS/Documents/Quick_Guide_to_Online_Reporting.pdf