Get Fcl 058 - Request For Exception - Dcf Ks

Filling out the FCL 058 - REQUEST FOR EXCEPTION form is a crucial process for facilities seeking regulatory exceptions in Kansas. This guide provides a clear, step-by-step approach to help you complete the form efficiently and accurately online.

Follow the steps to successfully submit your request for exception.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Identify the type of facility you represent by selecting one from the list provided (e.g., Attendant Care Center, CPA). Ensure you choose the option that accurately reflects your facility type.
3. Enter the regulation number you are requesting an exception from in the designated field. Provide the start and end date for which the exception is needed.
4. Fill in the current license capacity of your facility along with the age range of children that the facility is licensed to accommodate.
5. In the reason for request section, elaborate on how granting the exception is in the best interest of the child or children. Discuss the measures you will implement to ensure their health, safety, and well-being, as this information is crucial for approval.
6. If your request involves exceeding the current license capacity, specify the number, age, and gender of all children you intend to place. Additionally, include a floor plan illustrating where the children will be accommodated and indicate available bed types.
7. When requesting an exception for length of stay, provide the name of the specific youth, their admission date, reasons for the requested exception, and the duration for which the exception is needed.
8. Complete the contact details of your facility, including the name, license number, address, phone number, fax number, and email address.
9. After filling out the form, review all sections for accuracy before submitting. Once reviewed, save changes, download a copy, or print the form for your records.
10. Submit the completed form by fax or email to the Kansas Department for Children and Families as instructed. Ensure submission is timely if your request is urgent.

Complete your FCL 058 - REQUEST FOR EXCEPTION form online today to help facilitate the needs of your facility and the children in care.