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
Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 403 FFH Survey Instrument-CPA.pdf
https://www.dcf.ks.gov/services/PPS/FCL/Documents/Congregate Care Facility Orientation Online 2022.pdf
PPS 1011 State of Kansas REV Apr. 18 Department for Children and Families Child Abuse and Neglect
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Agency Name: Mailing address: Email Address: Phone Number: ( ) I understand that all
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1011.pdf
Rehabilitation Services Policy Manual SECTION Administrative Issues SECTION NO. 1-1 PART Organizational Structure PUBLISHED 03/21
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Rehabilitation Services offers a variety of programs
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_1_2_3_4_5_6_7_8_withoutlinks.pdfView duplicates
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
State of Kansas Department for Children and Families Prevention and Protection Services PPS
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a copy of the ISP (either via digitally/email or printed/hard copy); thus, it is imperative
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3031_Instr.pdf
In response, the Children's Bureau (CB
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by e-mail at Christine.lucero@acf.hhs.gov. You may also contact Deborah Smith, Child Welfare Regional Program Manager in Region 7 or by e-mail at
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https://www.dcf.ks.gov/services/PPS/Documents/Other/IVESTATEPLAN.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN
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U.S. Department of Health and Human Services
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This Child and Family Services Plan (CFSP) is the report for the five-year time period Fiscal Year
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https://www.dcf.ks.gov/services/PPS/Documents/Other/TitleIVBStatePlan.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