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KANSAS INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN FINANCIAL/MEDICAL PLAN State of Kansas Department for Children and Families Prevention and Protection Services PPS 9140 July 2015-Page 1 of 2
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How to Fill out Kansas Interstate Compact On:

01
Download the Kansas Interstate Compact on the Placement of Children (ICPC) form from the official website or obtain a copy from your social worker.
02
Fill in the information about the sending and receiving states accurately. Include the full names and contact information of the sending agency and receiving agency.
03
Provide the necessary information about the child being placed, including their name, date of birth, and social security number.
04
Include information about the child's parents or legal guardians, such as their names, addresses, and contact information.
05
Provide detailed information about the child's current living situation, including the name and address of the current caregiver or facility where they reside.
06
Indicate the reason for the child's placement under the ICPC, whether it is for foster care, adoption, or any other specific purpose.
07
Include any additional pertinent information about the child's background, medical conditions, or special needs that may be relevant for the receiving state to know.
08
Sign and date the form, ensuring that all required signatures are obtained from the appropriate individuals and agencies involved in the placement process.
09
Submit the completed ICPC form to the appropriate authorities in the sending state, who will then forward it to the receiving state for review and approval.

Who Needs Kansas Interstate Compact On:

01
Families or individuals who are planning to move a child across state lines for purposes such as foster care, adoption, or placement with relatives.
02
Social workers and agencies involved in child welfare and placement services.
03
Courts and legal authorities handling cases related to the placement of children across state lines.
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The Kansas Interstate Compact is an agreement among participating states to facilitate the supervision of offenders across state lines.
Individuals who are under the supervision of the Kansas criminal justice system and wish to relocate to another state are required to file the Kansas Interstate Compact.
To fill out the Kansas Interstate Compact, individuals must submit the necessary forms and documentation through their probation or parole officer.
The purpose of the Kansas Interstate Compact is to ensure proper supervision and communication between states for offenders who relocate across state lines.
Information such as offender's personal details, criminal history, supervision plan, and relocation details must be reported on the Kansas Interstate Compact.
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