Child Placing Agency (CPA)

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• *Indicates forms to be submitted to KDHE (Additional documentation is required)

  *CCL 651  Application  2002 
  *CCL 002  Request for KBI/DCF Registry Check  08/2011 en EspañolCL 002

  Supplemental Forms for the CPA
  CCL 002  Request for KBI/DCF Registry Check  08/2011 en EspañolCL 002
  CCL 009  Health Assessment, 16 & Older  08/2011 en EspañolCL 009
  CCL 057  Request for Amendment  03/2003
  CCL 058  Request for Exception  03/2003

  FFH Licensing
  CCL 402  Instructions: Application Packet for FFH  09/2009
  CCL 403 Family Foster Home Survey Instrument  12/2009
  CCL 407  Request for Amendment  05/2004
  CCL 411  Fingerprint-Based Background Check  09/2009
  CCL 653  Recommendation for Use/Intent to Place  09/2009
  CCL 654  Continued Recommendation for Use  09/2003
  CCL 655  Request for Transfer of Sponsoring Agency  2002
  CCL 656  CPA Withdrawal of Sponsorship  09/2003
  CCL 658  NRKIN Expedited Application  09/2009
  CCL 408  Portfolio FFH Request for Exception, Checklist, Instructions and Examples  03/2010

  Informational
  CCL 006  Reporting Suspected Abuse/Neglect  02/2010 en EspañolCL 006
  Foster Home Exceptions on a Day Care Home License