This fonn must be submitted to your DCF OGG Grant & Contract Specialist for submission through
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KS 67203 Grant Year (from/to) E-Mail cunruh@ilrcks.org 7/1/2023 6/30/2024 Phone Number
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Independent Living Resource Center CIL Renewal 1 and 2 SFY23.pdf
Click here to enter a date
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Age(s) of the Child(ren
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What has happened that led the reporter to call DCF today
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In order to elicit information regarding potential domestic violence
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1001.pdf
Send an e-mail to DCF.FCCCEBTexception@ks.gov Subject: ADD Provider to [Your Name] Case
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copy of cashed check, receipts, or an e-mail from the childcare provider showing how much
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/CCEPP Participation Guide.pdf
Number EES-2021-ITSN-01 City, State, Zip* E-Mail 7/1/2021 6/30/2022 Phone Number Fiscal Year
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KCCTO ITSN Amendment 1 and 2 FY22-24.pdf
Kansas Department of Social and Rehabilitation Services Kansas Rehabilitation Services: Youth
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D. PROJECT DIRECTOR (NAME, TITLE, ADDRESS, TELEPHONE, E-MAIL
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Please email questions to
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https://www.dcf.ks.gov/services/RS/Documents/Mentoring RFP/REVISED_DATES_ RFP_Mentoring_Youth_with_Disabilities_10-6-11_PS.pdf
Grant RFP: Domestic Violence, Sexual Assault (DV/SA) and Stalking Training
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E-Mail Address
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Agency: Kansas Department for Children and Families
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A signed copy of this Addendum must be
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https://www.dcf.ks.gov/Agency/Operations/Documents/Old RFP's and RFP Amendments/DVSA and Stalking RFP Amendment I - Q A.pdfView duplicates
KS 67801-0460 Grant Year (fromttoJ. E-Mail barker.arthur@usd443.org 7/1/2023 Phone Number
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/USD 443 Dodge City Bright Beginnings CCP Renewal 1 and 2 SFY23.pdf
Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 403 FFH Survey Instrument-CPA.pdf
State of Kansas Appendix 5E Department for Children and Families January 2013 Prevention and Protection Services Page 1 of 1
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http://travel.state.gov/consularnotification or email at
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5E.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Permanent Custodianship Annual Report PPS 6165 Rev. 01/14 Page 1 of
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Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6165.pdf