• Establishing or enforcing of an order
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• Learning more about the Family Violence Indicator
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• Receive payments on a U.S. Bank ReliaCard® debit card or by direct deposit
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https://www.dcf.ks.gov/services/CSS/Documents/CSS 5000.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
KANSAS DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES
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th Floor
915 SW Harrison Street
Topeka
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by Last Name of the Oldest Child) PHONE NUMBER E-MAIL Janet Kuntzsch (A-L) 785-296-8133
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https://www.dcf.ks.gov/services/PPS/Documents/ICPCtrainingmanual.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.pdf
FCL 051 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Rev. 01/21 Foster Care Licensing and Background Checks Division PO Box 1424 Topeka, Kansas 66601-1424
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Complete and return by email to
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 051 Application Facilities.pdf
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
FCL 659 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Rev. 02/21 Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603
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Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 659 Relative Waiver.pdf
H E N R I C K S
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O C T O B E R 2 0 , 2 0 2 0
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Family Foster Home (FFH) identifies and selects a sponsoring
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The FFH goes through orientation with its chosen sponsoring CPA
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2020/FCOCH - FC Licensure - Final Draft.pdf
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