Under Federal Grant Award (CFDA) Number 93.558
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Kansas Department for Children and Families
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having a place of business at
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Heartland Regional Alcohol and Drug Assessment Center
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Email
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC NOGA SFY22.pdf
4 th Floor Topeka, KS 66603 Email: darcy.hoke@ks.gov (2) To Grantee: Kansas Child Care
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KS 66502-2912 Phone: (785) 532-7197 Email: pkeating@ksu.edu Kansas Child Care Training
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KCCTO WFD NOGA FY23.pdf
Items that RS will fill in and will remain unchanged for the duration of the grant year
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City, State and Zip code (A5
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Items Grantee must fill in monthly
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https://www.dcf.ks.gov/services/RS/Documents/CIL RPF/Attachment_F4_Monthly_Fiscal.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
*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/KCCTO ITSN Renewal 1 and 2 FY22-23.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/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
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
The Department for Children and Families (DCF) has received and investigated a report of abuse, neglect, or exploitation of the involved adult named
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Adult Protective Specialist Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10350.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Foster Care and Residential Facility Licensing Division
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Please complete the following and return to Kansas Department for
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_057_RequestForAmendment.pdf