Page 1 SS-5033 REV-9/13 (for office use
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If you need a copy of the handbook, please request
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CSS office or submit via email to cssapplications@dcf.ks.gov Page 2 SS-5033
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https://www.dcf.ks.gov/services/CSS/Documents/SS5033OLA-082913.pdf
Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act
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States must have approved Unified or
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https://www.dcf.ks.gov/services/RS/Documents/WIOA Combined Portion of State Plan ps 12-14-19.pdf
Email: jalbert@mchks.com
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Email: erna.schmidtberger@haysmed.com
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Email: suicor@hhf.ks.org
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Email: carol.schopf@mercy.med
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Email: collection@ohscompare.com
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Email: rcradic@saint.lukes.org
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/collection-site-address-list 7-1-14.pdfView duplicates
Nationwide List of Child Abuse/Neglect Registry Links
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California does not do out of state
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of Child & Family Services Form If no response after 15 business days, please EMail DCFS
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Nationwide CAN Links PDF.pdf
FP-1020 05/22 Page 1 of 1 Kansas Department for Children and Families
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the signed Fingerprint Waiver 3) Mail in Address: Office of Background Investigations, Kansas Dept for
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/DCF Required Forms.pdfView duplicates
785-296-8600 Fax: 785-368- 7467 Email: charlene.johnson@ks.gov (2) To Grantee: Envision
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KS 67203 Phone: 316-440-1624 Email: stacy.fuller@envisionus.com b. All correspondence
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Envison Vision Rehabilitation Center OIB NOGA FY22.pdfView duplicates
Inter Ethnic Placement Act (MEPA/IEPA
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Policy_and_Procedure_Manual.pdfView duplicates
, DIRECTOR OF TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF
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KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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DCF Central Administration & Operations Economic & Employment Services Regional
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2023/1.17 H WF TANF.pdf
**A copy of any previously approved Renewal(s) and/or Amendment(s), as well as a NEW FFATA form, NEW Debarment Memorandum and NEW Tax Clearance Certificate must be included with this
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Cornerstones of Care Placement Stability Renewal 1 FY23.pdf
FCL 001 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES 02/21 Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas
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Facility Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Compliance Action Plan FCL 001.pdf