Kansas Children and Family Services has elected to use this
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E-mail Address: christine.lucero@acf.hhs.gov
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E-mail Address: Tanya.Keys@srs.ks.gov
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E-mail Address: Deanne.Dinkel@srs.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/CFSRPIPQ6_6292010completerevisions8112010.pdf
Van Buren PO BOX 1424 Topeka, KS 66601 Email: DCF.FCL@ks.gov Website: http://www.dcf.ks.gov
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Please complete this form and submit
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Agency Phone # Email Address
https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 658 NRKIN Expedited Application.pdf
RE: Applying for a social security number (SSN) for benefit eligible non-citizens
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2. Email each completed ES-4301 to the designated DCF official to print and wet sign
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https://content.dcf.ks.gov/EES/KEESM/Policy_Memo/22-11-03ApplyingForASocialSecurityNumberForBenefitEligibleNon-Citizens.pdfView duplicates
to be Completed by the Birth Parent
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No ☐Yes If yes, please provide the following
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Have you lived outside of Kansas
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No ☐Yes, list where and dates
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Who lives in your home currently
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https://www.dcf.ks.gov/services/CSS/Documents/CSS Paternity Questionnaire 1.28.2020.pdfView duplicates
to Denise Stevens, Public Service Executive, via mail, fax or email (Denise.Stevens@ks.gov
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phone number, license number, and, if available, email address of the applicant or licensee
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/RequestforProgramReview.pdfView duplicates
Individuals who wish to submit comments in writing may email
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To request a sign language interpreter or other accommodation for the hearing, please email
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/Register_Notice_Publication_Date_5-15-14.pdf
The State Plan for Federal Fiscal
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Individuals who wish to submit comments in writing may email
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To request a sign language interpreter or other accommodation for the hearing, please email
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/Register_Notice_Publication_Date_5-9-2013.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES REQUEST TO FINGERPRINT
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OBI 2001 9/2018 Page 1 OF 1
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The individual is a current or potential
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Results will be returned via encrypted email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/fingerprints/Request to Fingerprint 9 2018.pdf
requests, whenever possible, it is helpful if an email is sent or a phone call made to the
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will be processed and the CPA notified via email of approval or denial of the request within
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/ExceptionFosterHomePolicy_6-13-2018.pdf
foster parent NEED TO KNOW 2014 In an ongoing effort to ensure effective communication between foster parents, the Kansas Department for Children and Families (DCF), foster care
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https://www.dcf.ks.gov/services/PPS/Documents/Foster Parent Need to Know Newsletter.pdf