State of Kansas Department for Children and Families Prevention and Protection Services FLEX FUND REQUEST
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PPS 4007 January 2015 Page 1
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**SEND ONLY PAGE 1 TO PROVIDER
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EMAIL
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4007.pdf
Send an e-mail to DCF.FCCCEBTexception@ks.gov Subject: ADD Provider to [Your Name] Case
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copy of cashed check, receipts, or an e-mail from the childcare provider showing how much
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/CCEPP Participation Guide.pdf
Kansas Department of Social and Rehabilitation Services Kansas Rehabilitation Services: Youth
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D. PROJECT DIRECTOR (NAME, TITLE, ADDRESS, TELEPHONE, E-MAIL
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Please email questions to
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https://www.dcf.ks.gov/services/RS/Documents/Mentoring RFP/REVISED_DATES_ RFP_Mentoring_Youth_with_Disabilities_10-6-11_PS.pdf
HI - Home Interview OI - Office Interview CMA - Case Management Activities ET- E-mail To
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From LT - Letter To LF - Letter From EF- E-mail From
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10200.pdf
Grant RFP: Domestic Violence, Sexual Assault (DV/SA) and Stalking Training
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E-Mail Address
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Agency: Kansas Department for Children and Families
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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/DVSA and Stalking RFP Amendment I - Q A.pdfView duplicates
Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 403 FFH Survey Instrument-CPA.pdf
KS 67801-0460 Grant Year (fromttoJ. E-Mail barker.arthur@usd443.org 7/1/2023 Phone Number
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/USD 443 Dodge City Bright Beginnings CCP 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
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC Renewal 1 and 2 SFY23.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Soul Family Legal Permanency Change in Status Form PPS 6320 07/24 Page 1 of 1
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6320.pdf
State of Kansas Appendix 5E Department for Children and Families January 2013 Prevention and Protection Services Page 1 of 1
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http://travel.state.gov/consularnotification or email at
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5E.pdf