Page 1 of 4 State of Kansas
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Send copy to: State of Kansas Guardianship Program
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E-mail address
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I. REFERRAL INFORMATION (completed by DCF
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Address (facility, state, city, county & zip code
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10600.pdf
State of Kansas Authorization to Disclose Information Appendix 5Q Department for Children
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orally, in paper documents, or electronically by e-mail, fax machine, or data entry into the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5Q.pdf
FOR LICENSING DAY CARE HOMES AND GROUP DAY CARE HOMES FOR
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Website: www.kdheks.gov/kidsnet E-mail: cclr@kdheks.gov
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I. Kansas Child Care Licensing Laws, Revised July 2012
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_Regs_Laws/Licensed_and_Group_Day_Care_all_sections.pdf
FCL 402S DEPARTAMENTO DE NIÑOS Y FAMILIAS DE KANSAS Rev. 02/21 Foster Care Licensing (Licencias para acogida de menores
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PO Box 1424 Topeka, Kansas 66601-1424
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Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 402S Family Foster Home Renewal Application in Spanish.pdf
KS 66603 Página web: http://www.dcf.ks.gov Email: DCF.FCL002@ks.gov AUTORIZACIÓN PARA LA
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SW Van Buren Topeka, KS 66603 Página web: http://www.dcf.ks.gov Email: DCF.FCL002@ks.gov
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002S Individual Background Check in Spanish.pdf
FCL 001S DEPARTAMENTO DE NIÑOS Y FAMILIAS DE KANSAS 02/21 Foster Care Licensing (Licencias
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Dirección del centro: Calle, Ciudad, Estado Email del centro Sección 2. Detalles del plan
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 001S Compliance Action Plan in Spanish.pdf
DEPARTAMENTO DE NIÑOS Y FAMILIAS DE KANSAS
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Foster Care Licensing (Licencias para acogida de menores
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PO Box 1424 Topeka, Kansas 66601-1424
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SOLICITUD DE TRASLADO DE LA AGENCIA
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Email: Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 655S Request to Transfer Sponsoring CPA in Spanish.pdf
Email address
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Master YLS/CMI User List Updated 9/9/
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https://www.dcf.ks.gov/services/PPS/Documents/JJACommunitySupervisionOfficersMasterlist.pdf
CERTIFICADOS DE ENTRENAMIENTO Incluir los certificados de finalización de lo siguiente: Certificado del programa de preparación del hogar de acogida
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FCL 401 Solicitud de Hogar de
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Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 401S FFH Application in Spanish.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/KS Alliance of Boys and Girls Club Youth Services Renewal 1 and 2 SFY22-23.pdf