Listing of key staff| Form Number |
Form Date |
Form Name |
Form |
Instructions |
Other Languages |
|---|
| PPS 10000 |
01/2015 |
Kansas Protective Services for Vulnerable Adults Brochure |
pdf |
|
spapdf |
| PPS 10100 |
07/2016 |
Adult Protective Services Intake |
doc pdf |
|
|
| PPS 10110 |
07/2016 |
Adult Protective Service Screening Report |
doc pdf |
|
|
| PPS 10120 |
07/2017 |
Notification to Law Enforcement |
doc pdf |
|
|
| PPS 10125 |
07/2016 |
Notification to KDADS |
doc pdf |
|
|
| PPS 10130 |
07/2015 |
Notice of Action to Reporters for Adult Abuse Reports |
doc pdf |
|
|
| PPS 10200 |
10/2012 |
Adult Protective Services Case Activity Log |
doc pdf |
|
|
| PPS 10205 |
07/2014 |
Your Rights during an APS Self Neglect Assessment Brochure |
pdf |
|
|
| PPS 10208 |
07/2014 |
Your Rights during an APS Investigation Brochure |
pdf |
|
|
| PPS 10210 |
10/2012 |
Authorization for Release of Confidential Information |
doc pdf |
|
|
| PPS 10212 |
01/2014 |
APS Critical/Significant Incident Report |
doc pdf |
|
|
| PPS 10215 |
01/2018 |
Non-Critical Death Notification |
doc pdf |
|
|
| PPS 10216 |
01/2018 |
Closure After Assignment Request |
doc pdf |
|
|
| PPS 10230 |
01/2014 |
Interview Notice to Alleged Perpetrator |
doc pdf |
|
spadoc spapdf |
| PPS 10240 |
07/2012 |
What you need to know about Investigations of Adult Abuse, Neglect, Exploitation, or Fiduciary Abuse |
pdf |
|
|
| PPS 10250 |
01/2018 |
Corrective Action Plan |
doc pdf |
|
|
| PPS 10300 |
01/2017 |
Notice of Agency Decision |
doc pdf |
|
spadoc spapdf |
| PPS 10310 |
07/2016 |
Notification to Regional Adult Abuse/Neglect Registry Contact |
doc pdf |
|
|
| PPS 10315 |
07/2017 |
Notice of Termination of Corrective Action Plan |
doc pdf |
|
|
| PPS 10320A |
01/2017 |
Notice of APS Case Closure- For Self Neglect Cases |
doc pdf |
|
spadoc spapdf |
| PPS 10320B |
07/2016 |
Notice of APS Case Closure - Non Self Neglect Cases |
doc pdf |
|
|
| PPS 10330 |
01/2013 |
Appeal Summary |
doc pdf |
|
|
| PPS 10340 |
01/2015 |
Notification to Facility Regarding APS Finding |
doc pdf |
|
|
| PPS 10350 |
01/2018 |
Substantiation Notification to Law Enforcement |
doc pdf |
|
|
| PPS 10360 |
01/2018 |
Report to State Regulatory Authority from APS Regarding Finding of Abuse, Neglect, or Exploitation |
doc pdf |
|
|
| PPS 10370 |
01/2018 |
ANE Unit Cover Sheet |
doc pdf |
|
|
| PPS 10400 |
01/2018 |
Adult Abuse, Neglect, Exploitation, Fiduciary Abuse Central Registry |
doc pdf |
|
|
| PPS 10500 |
07/2016 |
Adult Protective Service Plan |
doc pdf |
|
|
| PPS 10510 |
07/2016 |
Emergency APS Admissions to Nursing Facilities |
doc pdf |
|
|
| PPS 10600A |
01/2018 |
Adult Guardianship / Conservatorship Referral/Notification |
doc pdf |
|
|
| PPS 10600B |
01/2018 |
Youth Guardianship / Conservatorship Referral |
doc pdf |
|
|
| PPS 10610 |
01/2017 |
Decision-Making and Functional Assessment: Criteria for Legal Impairment a Multi-disciplinary Tool |
doc pdf |
|
|