CWCMP Office Address: Supervisor: Phone: Email: Case Manager: Phone: Email: Support Worker (if applicable): Phone: Email: Current Caregiver/Placement: Name: Child
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5310.pdf
https://www.dcf.ks.gov/services/PPS/FCL/Documents/Congregate Care Facility Orientation Online 2022.pdf
Date of Birth: Cell Phone: ( ) E-mail: Cell Phone: ( ) E-mail: Race/Ethnicity: (check all that apply
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5320.pdf
Inter Ethnic Placement Act (MEPA/IEPA
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Policy_and_Procedure_Manual.pdfView duplicates
Nationwide List of Child Abuse/Neglect Registry Links
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California does not do out of state
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of Child & Family Services Form If no response after 15 business days, please EMail DCFS
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Nationwide CAN Links PDF.pdf
THIS AGENCY HAS BEEN APPROVED BY THE KBI TO SUBMIT FINGERPRINTS ELECTRONICALLY
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PLEASE SUBMIT COMPLETED FINGERPRINT SUBMISSION VIA LIVESCAN
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Failure to follow instructions may result in
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/LEA-DCF Forms.pdf
FP-1020 10/21 Page 1 of 1
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Kansas Department for Children and Families
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Instructions: *REQUIRED FIELDS Please Fill in ALL Lines on this Form
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*Have You ever been fingerprinted for DCF
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FP-1020 With Waiver.pdf
Child in the Home or Pregnant Woman
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Economic and Employment Services (EES) provides a variety of programs that
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Email with Client Name and KEES Case Number Sent to Appropriate Mailbox
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2023/1.26 H WF Employment Jobs Programs.pdf
System Manuals Help Desk System Manuals Central Registry Accounting Manual CWCBS FACTS Data Warehouse Reports User Guide FACTS User Manual Federal Review Quality
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Policy_and_Procedure_Manual_January2023.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Foster Care and Residential Facility Licensing Division
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APPLICATION FOR LICENSE TO OPERATE A RESIDENTIAL FACILITY FOR CHILDREN
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_051_ApplicationToConductResidentialFacility.pdf