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.pdf
Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act
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States must have approved Unified or
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https://www.dcf.ks.gov/services/RS/Documents/WIOA Combined Portion of State Plan ps 12-14-19.pdf
Email
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Topeka Calendar DCF.FPTopeka@ks.gov 555 S Kansas Ave, Topeka, KS 66603
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OP Calendar DCF.FPOverlandPark@ks.gov 8915 Lenexa Dr, Shawnee, KS 66214
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/DCF Fingerprint -Locations.pdf
Process Management Manual providing Roles, Responsibilities, Procedures, Quality Measurement and Process Measurements to ensure adequate staffing, resources, and quality work
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https://www.dcf.ks.gov/Agency/Training/ParentSite30/Documents/Kansas Handbook.pdf
FCL 000 03/21 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas
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Email: Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 000 Release of Compliance History.pdf
The ReliaCard is issued by U.S. Bank National Association pursuant to a license from Visa
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to be notified by either text or e-mail and managed through the U.S. Bank ReliaCard Mobile
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https://www.dcf.ks.gov/services/CSS/Documents/KPC_FAQs for Payment Received_v2.pdf
FCL 659 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Rev. 02/21 Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603
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Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 659 Relative Waiver.pdf
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.pdfView duplicates
Kansas 66603 Fax (785) 296-8609 ● Email: DCF.FCL002@ks.gov ● Website: http://www.dcf.ks.gov
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INDIVIDUAL BACKGROUND CHECK REQUEST FOR LICENSED FACILITIES
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One form is required for each
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_002_Individual_Background_Check_Request.pdf
FCL 001 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES 02/21 Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas
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Facility Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Compliance Action Plan FCL 001.pdf