Agency: Street Address* City, State, Zip* E-Mail Phone Number Fax Number Between Kansas
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Alphapointe OIB Renewal 1 and 2 SFY23.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award Number – N/A DCF Award Number
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer.goodman@ks.gov (2) To Grantee: KVC
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KVC Family First-Strengthening Families NOGA SFY24.pdf
The Income Withholding for Support (IWO) is the OMB-approved form used for income withholding in
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• Tribal, intrastate, and interstate cases enforced under Title IV-D of the Social
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https://www.dcf.ks.gov/services/CSS/Documents/iwo_instructions.pdf
Send an e-mail to DCF.FCCCEBTexception@ks.gov Subject: ADD Provider to [Your Name] Case
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copy of cashed check, receipts, or an e-mail from the childcare provider showing how much
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/CCEPP Participation Guide.pdf
Email: Phone Number: License Number: Family Foster Home Family
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Any request for exception may be granted if the secretary determines that the exception is in
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 408 Foster Family Home Exception Request.pdf
https://www.dcf.ks.gov/services/PPS/FCL/Documents/Congregate Care Facility Orientation Online 2022.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
*physical address required, including 9-digit zip code
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This grant shall remain in effect, subject to the terms and conditions stated in the original Notification of Grant
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC Renewal 1 and 2 SFY23.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
Chapter 2: Family Foster Home Descriptions
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Levels of Service (Level of Care/LOC
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Intensive Family Foster Home (Intensive 1 & Intensive 2
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HCBS Waiver Family Foster Home (HCBS – I/DD
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https://www.dcf.ks.gov/services/PPS/Documents/CWHandbookofServices/Placement _Standards_July_2021.pdfView duplicates