APPLICATION PROCESS CPA submits application and materials to DCF via e-mail
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License will be mailed to Family Foster Home and email to sponsoring Child Placement Agency
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/DCF Family Foster Home Licensure Orientation - Accessible.pdf
Kansas 66603 Fax (785) 296-8609 ● Email: DCF.FCL002@ks.gov ● Website: http://www.dcf.ks.gov
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INDIVIDUAL BACKGROUND CHECK REQUEST FOR LICENSED FACILITIES
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One form is required for each
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_002_Individual_Background_Check_Request.pdf
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
Nationwide List of Child Abuse/Neglect Registry Links
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California does not do out of state
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of Child & Family Services Form If no response after 15 business days, please EMail DCFS
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Nationwide CAN Links PDF.pdf
CWCMP Office Address: Supervisor: Phone: Email: Case Manager: Phone: Email: Support Worker (if applicable): Phone: Email: Current Caregiver/Placement: Name: Child
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5310.pdf
Email: jalbert@mchks.com
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Email: erna.schmidtberger@haysmed.com
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Email: suicor@hhf.ks.org
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Email: carol.schopf@mercy.med
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Email: collection@ohscompare.com
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Email: rcradic@saint.lukes.org
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/collection-site-address-list 7-1-14.pdfView duplicates
Email
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Topeka Calendar DCF.FPTopeka@ks.gov 555 S Kansas Ave, Topeka, KS 66603
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OP Calendar DCF.FPOverlandPark@ks.gov 8915 Lenexa Dr, Shawnee, KS 66214
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/DCF Fingerprint -Locations.pdf
ELIZABETH COHN, DIRECTOR OF CHILD SUPPORT
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Office of Child Support Enforcement (OCSE
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) oInvolves 54 State and Territory IV-D programs plus around 50 Tribal programs. oResponsibilities
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2021/CSS Testimony.pdf
Date of Birth: Cell Phone: ( ) E-mail: Cell Phone: ( ) E-mail: Race/Ethnicity: (check all that apply
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5320.pdf
SHANNON CONNELL, FOOD SECURITY AND UTILITY ASSISTANCE DIRECTOR
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out by teams in 36 service centers
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Economic and Employment Services (EES) provides a variety of programs that can help
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2023/1.19 H WF DCF SNAP.pdf