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
Kansas Social Services Block Grant State Plan for SFY 2022 Page 1
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Management, 5th Floor, 555 S. Kansas Ave., Topeka, KS 66603-3444, 785-296-0761, email
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The goals of KDADS are to
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https://www.dcf.ks.gov/Agency/Documents/SSBG_State_Plan_SFY2022.pdf
c. Issue a reply to the requesting email stating whether the request is approved or denied
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d. Send the return email response within 1 hour of the complete exception request being
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Emergency Afterhours Over Capacity Exceptions.pdf
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
Address Apt. # City State Zip Code Telephone E-mail County B. Do you appoint someone other
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Telephone Address Apt. # City State Zip E-mail State of Kansas Social and Rehabilitation
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https://www.dcf.ks.gov/Documents/Food/ES-3100.8_Application_Redetermination_01-06.pdf
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
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
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.pdf
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
Strong Families Make A Strong Kansas Kansas Child Support Services Incentives to Reduce State Owed Arrears
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Nurturing Parenting (Smart Start NW Kansas), email
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www.fathers.com/ email
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https://www.dcf.ks.gov/services/CSS/Documents/Incentives for state arrears community 01.24.18.pdf