Client email address (if known
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If client has obtained employment in their field of study, please complete
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Copy to: CCDF Program Specialist, Administrative Office
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-1640a_8_14.pdfView duplicates
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
Strong Families Make A Strong Kansas CSS Incentives to Reduce State Owed Arrears
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Nurturing Parenting (Smart Start NW Kansas), Denise Singer (785) 465-9103/email
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www.fathers.com/ email
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https://www.dcf.ks.gov/services/CSS/Documents/Incentives for state arrears community 3.2.16.pdf
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
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
SS -5045 Rev 8-13 CHILD SUPPORT SERVICES CHILD SUPPORT SERVICES APPLICATION You should receive the handbook "Handbook for CSS Customers" with this application form
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https://www.dcf.ks.gov/services/CSS/Documents/SS_5045 OLA-082913.pdf
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
Lindsey has been receiving TAF benefits for 42 months
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She has an open MACM case at the
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Mark the TAF Work Incentive box and email to the CH. Follow up: At the end of the 5 th
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/50 2008_1117_taf_work_incent_paymnt_AttchmentA.pdfView duplicates