SS -5045 Rev 8-13 CHILD SUPPORT SERVICES CHILD SUPPORT SERVICES APPLICATION You should receive the handbook "Handbook for CSS Customers" with this application form
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https://www.dcf.ks.gov/services/CSS/Documents/SS_5045 OLA-082913.pdf
Include: Name, Agency, Mailing Address, Telephone Number, Fax Number and E-mail Address
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phone and/or email if available
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Family new phone/email
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Child-only new phone/email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9121.pdf
EMAIL
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555 S Kansas Ave Topeka, KS 66603
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Kansas Department for Children and Families Foster Care Licensing and Background Checks Division
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320 S Broadway St Pittsburrg, KS 66762
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCBC Contacts Rev 3-20.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Independent Living Subsidy Payment Unit Notification PPS 7210 REV 07/15 Page 1 of
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7210.pdf
A. Case Information (to locate case) B. Who is the child in Foster Care added to your household
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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/Foster Care - Child Care Change Form.pdf
The Kansas Department for Children and Families (DCF) is grateful for the valuable input received from the following individuals and organizations on the working group
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https://www.dcf.ks.gov/Agency/Documents/Crossover_Youth_Working_Group_Final_Report_to_Legislature_2020.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Family First Prevention Plan and Service Referral
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Family First Regional Email (check one below
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311.pdf
The State Plan for Federal Fiscal
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Individuals who wish to submit comments in writing may email
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To request a sign language interpreter or other accommodation for the hearing, please email
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/Register_Notice_Publication_Date_5-9-2013.pdf
Address City, State, Zip Phone Number Email K. Financial Officer Name Title Street Address City, State, Zip Phone Number Email L. Authorizing Official*** Name Title Street
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https://www.dcf.ks.gov/Agency/Operations/Documents/Grant Information Sheet rev accessible.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Referral for QRTP Assessment For Child
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Email Address
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Once this form is complete please email to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5115.pdf