suspended if we do not receive the completed review form and we determine that you are no longer
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Another review form is enclosed for you convenience
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_6D.docView duplicates
This agreement is being executed on this date, prior to the finalization of
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b. To participate in an annual review by completing and returning the review form within 30 days of receipt
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6130.doc
Please return a copy of this form when sending your verifications
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Complete application/review form
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Copy to file, copy to customer This form supersedes Form ES-3105.1, 07-13
https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3105 1_02-16.docxView duplicates
to continue, you must complete the enclosed review form and return it not later than
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You may return the review form by mail, in person or through a medical or authorized
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https://content.dcf.ks.gov/EES/KEESM/Forms/PDF 3820_10-11.docView duplicates
At review the household will be sent only the Notice of Eligibility Review, the review form and Good for You nutrition newsletter
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Late Receipt of Review Form
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/Implementation Memo Rev 49final_9-29-11.docxView duplicates
The review form does not report any changes to circumstances since last reported
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new bank account, bank account previously reported not reported on current review form, etc
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https://content.dcf.ks.gov/EES/KEESM/SOC_Rev_60_08-13.htmlView duplicates
· The month prior to Review KEES Creates a ‘DCF Review’ Task
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Re-Send the PPS 6135 Adoption Assistance Review form
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Journal the family did not return the review form
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Adoption_Assistance_Review.htm
are required to complete and return an annual review form in order to provide DCF with your most
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Please complete your review and return to the address listed below by *MM/DD/YYYY
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Adoption_Assistance_Review_Reminder.htm
Name, Program, Language and any other mandatory drop-down field based on the form chosen
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Review form for accuracy and click the Save and Print Locally or Save and Print Centrally
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Generating_a_Form.htm
to continue, you must complete the enclosed review form and return it to us no later than
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do not complete, sign and send the review form to us, your medical assistance coverage will end
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3821.pdfView duplicates