A. Case Information (to locate case) B. Who is the
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Social Security Number Phone Email Street Address
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Printed Name of FC CMP/CPA Representative Representative Contact Email
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https://www.dcf.ks.gov/services/PPS/Documents/FC-CC Change Form.pdfView duplicates
COMMUNITIES HELPING FAMILIES Every school can use the local DCF Service Center as an access point for information to help the Smiths find
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Available by email at: 1800children@kcsl.org
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https://www.dcf.ks.gov/services/PPS/Documents/FY2021DataReports/MiscWebPostings/CommunitiesHelpingFamilies.pdf
Thank you for your interest in
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Telephone Number: Alternate Telephone Number: Email Address: Are you exempt from
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Name: Address: Telephone Number: Fax Number: Email Address
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-13 ES-1651 Unregulated Child Care Provider Enrollment -DCF.pdfView duplicates
State: Zip: Primary Telephone Number: Alternate Telephone Number: Email Address
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Can this email address be used to make contact
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-14 ES-1652 In-Home Child Care Provider Enrollment -DCF.pdfView duplicates
Contact email: Please submit this form and any
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You may also call FCCC at 785-368-8594
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/FCCC Child 2020 School Schedule Form - Fillable Accessible.pdfView duplicates
Are you ready to take the Next Step
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Want to increase opportunities for interpreting in your community
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Travel, Meals & Lodging sponsored by Sorenson Communications Questions: Email
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https://www.dcf.ks.gov/services/RS/Documents/DIATraining.pdf
Community Resources Expo Office of the Court Trustee & NEW
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You are invited - 2 events in one
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call Quantum at: 316-722-7320 or email: info@quantumexpo.com Bring Copies of your Resumé
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https://www.dcf.ks.gov/services/CSS/Documents/SGCTJobFair.pdf
As a relative, you are not
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Can this email address be used to make contact ⃝ Yes ⃝ No
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State: Zip: Primary Telephone Number: Alternate Telephone Number: Email Address
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-15 ES-1653Out of Home Relative Child Care Provider Enrollment.pdfView duplicates
FOOD ASSISTANCE DISQUALIFIED RECIPIENT REPORT Rev. 02-17
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INSTRUCTIONS: Complete this form and email to
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DCF.EBTMAIL@ks.gov within 20 days of the disqualification
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-524_FS_Disqualification02-17.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