*physical address required, including 9-digit zip code
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This grant shall remain in effect, subject to the terms and conditions stated in the original Notification of Grant
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC Renewal 1 and 2 SFY23.pdf
KS 67801-0460 Grant Year (fromttoJ. E-Mail barker.arthur@usd443.org 7/1/2023 Phone Number
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/USD 443 Dodge City Bright Beginnings CCP Renewal 1 and 2 SFY23.pdf
Kansas Department of Social and Rehabilitation Services
Robert Siedlecki, Secretary
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Integrated Service Delivery - Jim Kallinger, Deputy Secretary (785)
296-3271
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/EliminationofGeneralAssistanceCash.htmlView duplicates
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
Appropriate modes of communication means specialized aids and supports that enable an individual with a disability to comprehend and respond to information that is being communicated
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https://content.dcf.ks.gov/rehab/Policy Manual/WebHelp/Glossary.htmView duplicates
Notification of Grant A ward (NOGA) Under Federal Grant A ward (ALN) Number 93-472 DCF A ward
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer .goodman@ks.gov (2) To Grantee: Kansas
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KPATA Family First NOGA SFY24.pdf
Vol. 78 Thursday, No. 248 December 26, 2013 Part III Office of Management and Budget 2 CFR Chapter I, Chapter II, Part 200, et al. Uniform Administrative Requirements, Cost Principles
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https://www.dcf.ks.gov/Agency/Operations/Documents/OMB Uniform Requirements.pdf
DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing and Background Checks Division PO BOX 1424
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Signature of CPA Social Worker Telephone Number Fax Number E-mail Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_408_FFHExceptionWorksheet.pdf
1 Provider’s Name: Month: Provider’s E-mail: Year: List all foster
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Child #1’s Name: Hourly Rate: For DCF Use Child #2’s Name: Hourly
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https://www.dcf.ks.gov/services/PPS/Documents/FY2022DataReports/Public Website Documents/5828e-CCEPP Timesheet.pdf
Department for Children and Families REV 10/22/21 Prevention and Protection Services Timesheet Page 1 of 1
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Provider’s Name: E-mail: Month: Address where care occurs: Year
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5828E.pdf