Equipment Pre-Approval
Grantee Agency
E-Mail
Phone Number
Fax Number
Grant Number
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Please explain allocation on Justification page
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In this section, please detail efforts to obtain
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https://www.dcf.ks.gov/Agency/Operations/Documents/EquipmentPre-Approval(OGC-4004.1).xls
Only complete income information if the parent/step-parent lives in the home from which the
…
Date
Office address
Phone Number
Fax Number
E-mail address
Family
Aunt/Uncle
Niece/Nephew
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5410A_unprotected.xlsxView In Browser