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
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 058 Amendment Facilities.pdf
State of Kansas PPS 8400E Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 18
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Transitional Living Program (TLP) Site Visit Tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400E.pdf
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
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
Individuals who wish to submit comments in writing may email
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To request a sign language interpreter or other accommodation for the hearing, please email
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/Register_Notice_Publication_Date_5-15-14.pdf
The State Plan for Federal Fiscal
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Individuals who wish to submit comments in writing may email
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To request a sign language interpreter or other accommodation for the hearing, please email
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/Register_Notice_Publication_Date_5-9-2013.pdf
State of Kansas PPS 8400A Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 19
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Community Integration Program (CIP) Site Visit Tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400A.pdf
agency or worker’s agency will scan and e-mail the application to a central DCF-EES mailbox
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or worker’s agency will cc you on the e-mail they send to submit your application to EES
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https://www.dcf.ks.gov/services/PPS/Documents/Guide for Foster Caregivers.pdf