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
EMAIL
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555 S Kansas Ave Topeka, KS 66603
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Kansas Department for Children and Families Foster Care Licensing and Background Checks Division
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320 S Broadway St Pittsburrg, KS 66762
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCBC Contacts Rev 3-20.pdf
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
Department for Children and Families Appendix 7H
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Prevention and Protection Services Rev. Jul-2015
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Please contact the Independent Living Coordinator
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Email/Phone
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_7H.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