State of Kansas Department for Children and Families Prevention and Protection Services Permanent Custodianship Change in Status Form PPS 6170 REV 01/14 Page 1 of
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Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6170.pdf
Email
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B. Type of Agency ☐Public ☐Private Non-Profit ☐Private Profit
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C. Official Authorized to Sign Application
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F. Type of Application ☐New ☐Revision ☐Continuation of Grant
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https://www.dcf.ks.gov/services/RS/Documents/OIB_AttachmentA.pdf
My Plan for Successful Adulthood State of Kansas PPS 3059 Department for Children and
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for keeping a schedule, setting up an e-mail, and communicating in a professional manner
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059.pdf
Under Federal Grant Award (CFDA) Number 93.558
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Kansas Department for Children and Families
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having a place of business at
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Heartland Regional Alcohol and Drug Assessment Center
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Email
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC NOGA SFY22.pdf
4 th Floor Topeka, KS 66603 Email: darcy.hoke@ks.gov (2) To Grantee: Kansas Child Care
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KS 66502-2912 Phone: (785) 532-7197 Email: pkeating@ksu.edu Kansas Child Care Training
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KCCTO WFD NOGA FY23.pdf
Parsons State Hospital & Training Center Dual Diagnosis Treatment & Training Services 2601
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in either of the following ways: 1. E-MAIL: nathan.grommet@ks.gov 2. FAX: (620) 421-3623 How
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/DDTTSbrochure (3).pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (ALN) Number 93.472 DCF Award Number
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer.goodman@ks.gov (2) To Grantee: KVC
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KVC HFA Family First NOGA SFY24.pdfView duplicates
The terms of the award may include both standard and special provisions, appearing in each NOGA
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KS 66603-3444 Phone: (785) 230-9838 Email: Kerri.Khatib@ks.gov (2) To Grantee: Central
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Central KS Mental Health Center SFY24 NOGA.pdf
FCL 660 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Date: 06/24 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
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 660 Relative and Non-Related Kinship Waiver.pdf
Send an e-mail to DCF.FCCCEBTexception@ks.gov Subject: ADD Provider to [Your Name] Case
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copy of cashed check, receipts, or an e-mail from the childcare provider showing how much
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/CCEPP Participation Guide.pdf