KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Foster Care and Residential Facility Licensing Division
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APPLICATION FOR LICENSE TO OPERATE A RESIDENTIAL FACILITY FOR CHILDREN
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_051_ApplicationToConductResidentialFacility.pdf
Form OGC-1002 (RFP - Attachment A) REV 07/14
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Email
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D. Geographic Area To Be Served, Target Population, and Estimated Number To Be Served
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E. Federal Employer Identification Number (FEIN
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https://www.dcf.ks.gov/Agency/Operations/Documents/RFP-AttachA-GrantAppInfoSheet(OGC-1002)accessible.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN
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U.S. Department of Health and Human Services
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This Child and Family Services Plan (CFSP) is the report for the five-year time period Fiscal Year
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https://www.dcf.ks.gov/services/PPS/Documents/Other/TitleIVBStatePlan.pdf
FAMILY FIRST SERVICE MENU NORTHEAST & SOUTHEAST REGIONS AVAILABILITY* PROGRAM Statewide
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Great Circle: Northeast; Brown, Doniphan, Jackson, Marshall, Nemaha, Pottawatomie, Wabaunsee
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https://www.dcf.ks.gov/services/PPS/Documents/FY2021DataReports/Famiy First/Service Menu Northeast Southeast.pdf
be sent to the mailing address or email listed above with appropriate payment (see Payment
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Return Results by: Encrypted email (list if different than above): Postal Mail
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/OBI_1011_CAN_ROI.pdf
U.S. Department of Health and Human Services
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Docking State Office Building, 5 th Floor Topeka, Kansas 66612-1570
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SECTION II: SAFETY AND PERMANENCY DATA
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E-mail: Deanne.Dinkel@dcf.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/Other/FinalVersionSWAssessment_February2015.pdf
***Document to be used when child is legally free for adoption
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Does the Indian Child Welfare Act apply
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☐ Relinquishment Accepted and Approved by Agency
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Date waiver email sent
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5400_Fillable.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
Prevention Provider Spotlight: Horizons Mental Health Center
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Community Provider Spotlight: Kansas Coalition against sexual & domestic violence
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One of the ways the agency
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Email us at
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https://www.dcf.ks.gov/services/PPS/Documents/FF-newsletters/August 2020_Prevention in Kansas Newsletter.pdf
who wish to submit comments in writing may do so using the following email addresses
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To request a sign language interpreter or other accommodations, please email
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https://www.dcf.ks.gov/services/RS/Documents/Public hearing 1-5-2016.pdf