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
State of Kansas Aftercare Contact Agreement
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PPS 3070 Department for Children and Families (For Cases Where Child is not in the Custody of the Secretary) July 2013 Prevention and
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3070.pdf
Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act
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States must have approved Unified or
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https://www.dcf.ks.gov/services/RS/Documents/WIOA Combined Portion of State Plan ps 12-14-19.pdf
FCL 058 KANSAS DEPARTMENT FOR CHILDREN AND
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Telephone Number Fax Number Email Address Date
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return to Kansas Department for Children and Families, fax or e-mail if request is urgent
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_058_FacilityRequestForException.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Permanent Custodianship Change in Status Form PPS 6170 REV 01/14 Page 1 of
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Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6170.pdf
My Plan for Successful Adulthood State of Kansas PPS 3059 Department for Children and
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for keeping a schedule, setting up an e-mail, and communicating in a professional manner
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059.pdf
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
Under Federal Grant Award (CFDA) Number 93.558
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Kansas Department for Children and Families
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having a place of business at
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Heartland Regional Alcohol and Drug Assessment Center
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Email
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC NOGA SFY22.pdf
4 th Floor Topeka, KS 66603 Email: darcy.hoke@ks.gov (2) To Grantee: Kansas Child Care
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KS 66502-2912 Phone: (785) 532-7197 Email: pkeating@ksu.edu Kansas Child Care Training
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KCCTO WFD NOGA FY23.pdf
Parsons State Hospital & Training Center Dual Diagnosis Treatment & Training Services 2601
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in either of the following ways: 1. E-MAIL: nathan.grommet@ks.gov 2. FAX: (620) 421-3623 How
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/DDTTSbrochure (3).pdf