FCL 656 Rev. 03/23 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
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL 656 CPA Withdrawal of Sponsorship.pdf
REQUEST TO CLOSE A LICENSED RESIDENTIAL FACILITY OR CHILD PLACING AGENCY
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Topeka, Kansas 66603 Website: http://www.dcf.ks.gov Email: DCF.FCL@ks.gov Signature of owner
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 750 Request to Close a Licensed Facility or CPA.pdf
KANSAS DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES
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th Floor
915 SW Harrison Street
Topeka
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by Last Name of the Oldest Child) PHONE NUMBER E-MAIL Janet Kuntzsch (A-L) 785-296-8133
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https://www.dcf.ks.gov/services/PPS/Documents/ICPCtrainingmanual.pdf
Case 2:18-cv-02617-DDC-GEB Document 140 Filed 09/09/20 Page 1 of 10
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UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS
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M.B. and S.E. through their next friend Katharyn McIntyre
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https://www.dcf.ks.gov/Documents/Settlement/OrderGrantingUnopposedMotionforSettlement.pdf
Standard Language For Grants And Contracts Where Protected Health Information Will Be Exchanged
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(Steps 1-5 may be completed by the
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Work phone, home phone, fax and e-mail of the vendor
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https://www.dcf.ks.gov/services/RS/Documents/Provider_Agreement_Packet_0513_BG.pdf
DRAFT 12-15-19 Draft for Public Comment Open through January 17, 2019 Page 1
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https://www.dcf.ks.gov/services/RS/Documents/VR portion of the state plan 2020 DRAFT.pdf
• Establishing or enforcing of an order
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• Learning more about the Family Violence Indicator
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• Receive payments on a U.S. Bank ReliaCard® debit card or by direct deposit
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https://www.dcf.ks.gov/services/CSS/Documents/CSS 5000.pdf
agency or worker’s agency will scan and e-mail the application to a central DCF-EES mailbox
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or worker’s agency will cc you on the e-mail they send to submit your application to EES
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https://www.dcf.ks.gov/services/PPS/Documents/Guide for Foster Caregivers.pdf
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
: • Locating information • Establishing or enforcement of an order • Modifying a child support amount • Reporting new information • Learning more about the Family Violence Indicator
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https://www.dcf.ks.gov/services/CSS/Documents/CSS5000 final 1.17.2019 v2.0.pdf