Kansas Children and Family Services has elected to use this
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E-mail Address: christine.lucero@acf.hhs.gov
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E-mail Address: Tanya.Keys@srs.ks.gov
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E-mail Address: Deanne.Dinkel@srs.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/CFSR_PIP_Q7_Final.pdf
This is your application for Foster Care Child Care (FC-CC) offered through the Department for
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E-mail: Provide
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https://www.dcf.ks.gov/services/PPS/Documents/FC-CC Application.pdf
FOSTER HOME LICENSING APPLICATION CHECKLIST An Initial application packet for a foster care license
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Please submit the following DCF forms
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FCL 002 KBI/DCF Background check
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_401_FFHApplication.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
agency or worker’s agency will scan and e-mail the application to a central DCF-EES mailbox
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or worker’s agency will cc you on the e-mail they send to submit your application to EES
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https://www.dcf.ks.gov/services/PPS/Documents/Guide for Foster Caregivers.pdf
Section 11 / Part 15 Effective Date: August 20, 2007 Length of document: 5 pages
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time commitment and could include phone, email communications and travel to on-site meetings
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Contracts/Section 11 Part-15_Rehab_engineering.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Adoptive Family Assessment
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Email Address
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Language(s) Spoken in the Home
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5318.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Monthly Individual Contact Developed by KS Youth
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□ I have my workers phone and email information
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3061.pdf
Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act
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States must have approved Unified or
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https://www.dcf.ks.gov/services/RS/Documents/WIOA Combined Portion of State Plan ps 12-14-19.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