Address City, State, Zip Phone Number Email K. Financial Officer Name Title Street Address City, State, Zip Phone Number Email L. Authorizing Official*** Name Title Street
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https://www.dcf.ks.gov/Agency/Operations/Documents/Grant Information Sheet rev accessible.pdf
Form OGC-1002 (RFP - Attachment A) REV 07/14
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Email
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D. Geographic Area To Be Served, Target Population, and Estimated Number To Be Served
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E. Federal Employer Identification Number (FEIN
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https://www.dcf.ks.gov/Agency/Operations/Documents/RFP-AttachA-GrantAppInfoSheet(OGC-1002)accessible.pdf
Provide the names and affiliations of the individuals who participated in the statewide assessment process; please also note their roles in the process
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas Statewide Assessment 2023.pdf
Section 11 / Part 1 Effective Date: April
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Work phone, home phone, fax and e-mail of the vendor
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Name Address City State ZIP E-Mail FAX # Tax ID# Work Phone FEIN/SSN Home Phone License
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Provider_Agreement_Packet.pdf
State of Kansas Department for Children and Families Prevention and Protection Services AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION PPS 0100 REV Sept. 2023 Page 1
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0100.pdf
State of Kansas Department for Children and Families Prevention and Protection Services PPS 7000A REV. Jul-24 Page 1 of 3 Independent Living Monthly Budget Plan
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Contact/Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS 7000A.pdf
Rehabilitation Services Policy Manual SECTION Glossary SECTION NO. 8-1 PART PUBLISHED 03/21
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Appropriate modes of communication means specialized aids and supports that enable an
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC-8-1.pdf
FCL 004 Rev. 06/24 Kansas Department for Children and Families Foster Care Licensing and Background Checks Division 500 SW Van Buren PO BOX 1424
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Phone Number Fax Number E-Mail
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 004 NOSF for Sponsoring Agency Fillable.pdf
Child and Family Services Reviews Program Improvement Plan Kansas
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Submitted To: U.S. Department of Health and Human Services April 3, 2024 555 S Kansas Ave, 1 st Floor Topeka
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas R4 PIP Approved Plan.pdf
Kansas Department for Children and Families Prevention and Protection Services Provider Agreements and Service Descriptions Rev 1/3/17
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Each regional office has a person assigned to
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https://www.dcf.ks.gov/services/PPS/Documents/Provider Agreement/ProviderAgreementServices.pdf