**A copy of any previously approved Renewal(s) and/or Amendment(s), as well as a NEW FFATA form, NEW Debarment Memorandum and NEW Tax Clearance Certificate must be included with this
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Children's Advocacy Center of Kansas Inc. Renewal 1 and 2.pdf
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
*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 Award
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Independence Inc CIL Renewal 1 and 2 SFY 23.pdf
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This form must be submitted to your DCF OGG
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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/Resource Center for Independent Living CIL Renewal 1 and 2 SFY23.pdf
Authorized Project Official- I certify that to the best of my knowledge and belief, this report is true in all respects and that all
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disbursements have been made for the purpose and
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https://www.dcf.ks.gov/services/RS/Documents/CIL RFP 4 Counties/Attachment_E4_Monthly_Fiscal_PDF Final.pdfView duplicates
Between Kansas Department for Children and Families
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University of Kansas Medical Center Research Institute, Inc. (Project Eagle
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**A copy of any previously approved Renewal(s) and/or
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KU Project Eagle HV Renewal 1 and 2 SFY23-24.pdf
RENEWAL#: Form OGC-1010.2 REV 2/19 DCF Program may request a Renewal if they would like to
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KS 67208 Grant Year (from/to) E-Mail blippe@mhasck.org 7/1/2022 6/30/2024 Phone Number 316
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Mental Health Assoc of S.C KS Renewal 1 SFY23.pdf
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/Independent Connection Inc CIL Renewal 1 and 2 SFY23.pdf
This fonn must be submitted to your DCF OGG Grant & Contract Specialist for submission through
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KS 67203 Grant Year (from/to) E-Mail cunruh@ilrcks.org 7/1/2023 6/30/2024 Phone Number
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Independent Living Resource Center CIL Renewal 1 and 2 SFY23.pdf
to); Ff (Fax from); Et (E-mail to); Ef (E-mail from); Check Mark for Health
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1010.pdf