Include: Name, Agency, Mailing Address, Telephone Number, Fax Number and E-mail Address
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phone and/or email if available
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Family new phone/email
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Child-only new phone/email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9121.pdf
How many people live in your household
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Are you responsible for caring for a disabled person daily
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Microsoft TEAMS – Please provide a valid email address for the invitation
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-6 Self-AssessmentFormFillable.pdfView duplicates
ES-1653 Rev. 4-13 C-15 Page 1 Out of Home Relative Provider Enrollment Thank you for your interest in becoming a DCF child care provider for related
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https://content.dcf.ks.gov/EES/KEESM/Appendix/ES-1653.pdfView duplicates
APPLICATION PROCESS CPA submits application and materials to DCF via e-mail
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License will be mailed to Family Foster Home and email to sponsoring Child Placement Agency
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/DCF Family Foster Home Licensure Orientation - Accessible.pdf
What are the barriers to the
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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/KRS_Public_Hearing.pdf
c. Issue a reply to the requesting email stating whether the request is approved or denied
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d. Send the return email response within 1 hour of the complete exception request being
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Emergency Afterhours Over Capacity Exceptions.pdf
Family First Regional Email (check one below
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☐ Attach and email all forms to the grantee/provider, regional Family First mailbox and your
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Use the email subject line
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS4310.pdf
B. Who is the child in Foster Care being added to or
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This form provides a method to add or remove a child on Foster Care Child
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Phone Email Street Address
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Representative Contact Email
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-1512FC-CC Change Form.pdfView duplicates
ARCare Trusts and supplemental needs/care trusts are exempt as a resource
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These trusts do not need to be submitted to the Food Assistance Program Manager for TANF or food assistance
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https://content.dcf.ks.gov/EES/KEESM/Appendix/B-6_Request_for_Trust_Annuity_Clearance_05-16.pdfView duplicates
Summer Work-Based Learning Experiences for Pre-Employment Transition Services (Pre-ETS
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contact information including an appropriate email address. • The student learns how to find
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Service Description_Providers_SumerPaidWBL- 12-01-2021.pdf