A. Case Information (to locate case) B. Who is the
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Social Security Number Phone Email Street Address
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Printed Name of FC CMP/CPA Representative Representative Contact Email
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https://www.dcf.ks.gov/services/PPS/Documents/FC-CC Change Form.pdfView duplicates
The Department for Children and Families (DCF) has received a report of abuse or neglect of a child which is being reported to your agency in accordance with K.S.A.
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Email Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1003.pdf
Email
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Regulatory Compliance and Quality Assurance Administrator, Racheal Sain
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Supervises Regional Supervisors and Training Specialist
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/DCF Foster Care Licensing Contact List.pdf
Kansas Department of Social and
Rehabilitation Services
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Prepared by:
SRS Office of Financial
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Docking State Office Building, 915 S.W. Harrison, Topeka, KS 66612; (785) 296-6217; e-mail
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https://www.dcf.ks.gov/Agency/Documents/SSBG_StatePlan_SFY2012.pdf
Nurturing Parenting (Smart Start NW Kansas), email: ssnwks@st-tel.net NET Reach (Topeka
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the Father Thirst (KC) www.fathers.com/ email: strongdads@fathers.com Quenching the Father
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https://www.dcf.ks.gov/services/CSS/Documents/Incentives for state arrears community 102016.pdf
Address Apt. # City State Zip Code Telephone E-mail County B. Do you appoint someone other
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Telephone Address Apt. # City State Zip E-mail State of Kansas Social and Rehabilitation
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https://www.dcf.ks.gov/Documents/Food/ES-3100.8_Application_Redetermination_01-06.pdf
Strong Families Make A Strong Kansas Kansas Child Support Services Incentives to Reduce State Owed Arrears
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Nurturing Parenting (Smart Start NW Kansas), email
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www.fathers.com/ email
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https://www.dcf.ks.gov/services/CSS/Documents/Incentives for state arrears community 01.24.18.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Mailing Address: PO BOX 1424 Topeka, KS 66601 Physical
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Website: http://www.dcf.ks.gov Email: DCF.FCL002@ks.gov AUTHORIZATON FOR
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.pdf
66603 Website: http://www.dcf.ks.gov Email: DCF.FCLExceptions@ks.gov REQUEST FOR AMENDMENT
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Complete and return by email to: DCF.FCLExceptions@ks.govPage 1 of 2Describe
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 057 Amendment Facilities.pdf
Non-KORA Agency Records Request Form * REQUESTOR INFORMATION
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Requestor Work Email
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Please provide the following information on the person whose Kansas DCF case history is being
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https://www.dcf.ks.gov/Records/Documents/Non-KORA-Agency-RecordsRequestForm.pdf