RENEWAL#: Forrn OGC-1010.2 REV 2/19 DCF Program may request a Renewal if they would like to renew
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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/Prairie Independent Living Resource CIL Renewal 1 and Renewal 2 SFY23-24.pdf
State of Kansas Department for Children and Families Prevention and Protection Services REFERRAL FOR PAYMENT
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PERMANENT CUSTODIANSHIP SUBSIDY PPS 6155 REV Jul
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6155.pdf
**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/Ks Youth Empowerment Academy KYEA Renewal 1 and 2.pdf
**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/KCSL CJA Renewal 1 and 2 SFY23-24.pdf
Regional Contact Name: 6) Case Management Provider Contact Agency: Name: Email
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Email: D. Instructions for
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6149.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing and Background Checks Division PO BOX 1424 ● Topeka, Kansas 66601-1424 500 SW Van Buren ● 2 nd Floor
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_651_ApplicationForCPA.PDF
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67357 Grant Year (from/to) E-Mail sharic@skilonline.com 7/1/2022 6/30/2023 Phone Number 620
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i-uA l1-(IT app//caDJeJ 93.369
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Southeast KS Independent Living Resource Center CIL Renewal 1 and 2 SFY23-24.pdf
E-Mail Address: George.vanhoozer@ks.gov
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Agency: Kansas Department for Children and Families
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Conditions: Please see response to questions below
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A signed copy of this Addendum must be
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https://www.dcf.ks.gov/Agency/Operations/Documents/Old RFP's and RFP Amendments/RFP 2Gen QA Amendment-Final.pdf
MANDATED REPORTER TRAINING Presented by the Kansas Department for Children and Families
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MANDATED REPORTERS GUIDES SOCIAL WORK PRACTICE
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___________________________________ Kansas Statues Annotated K.S.A. 38-2226 (Kansas
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https://www.dcf.ks.gov/services/PPS/Documents/Child-MandatedReporting/CPS_Mandated_Reporter_PP_Handout.pdf
State of Kansas Department for Children and Families Prevention and Protection Services AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION PPS 0100 REV Sept. 2023 Page 1
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0100.pdf