will be posted to a specific web address, information regarding the site location would be
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for Children and Families (DCF), do we need to change SRS to DCF in our future grant
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https://www.dcf.ks.gov/services/PPS/Documents/Grant_Information/SFY2014CommunityServicesQA.doc
listed on the W9 form, that person’s SSN, address, and signature are required for this form
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submitting the PPS 6170 (CFS 4026a) Change in Status Form - Changes in living arrangements
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6149.docx
Care Home Other Child Current Address Child Current Telephone Caregiver/Contact
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required only if child’s behavior or circumstances change and re-screen is warranted
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_3L.doc
Instructions: The Site Visit Tool is to be completed at in-person site visits for initial
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CAP. Facilities will have 14 days to address the missing items and submit corrections or a
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400B.docView duplicates
We have approved your application for Child Care beginning *BEGINNING DATE
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the time you learn of them: your new address if you move, change in child care provider and/or hours of care
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https://content.dcf.ks.gov/ees/KEESWebHelp/NonMedical-KEESWebHelp/Child_Care_Approval_Copy_and_Paste_Text.docxView duplicates
Client: Client ID #: Date: Address: Telephone #: SBDT: Email: DCF.SBDT@ks.gov
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Change In Client Status (Please check all that apply) Cash closing for: Penalty Life-time
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https://content.dcf.ks.gov/ees/KEESM/Forms/ES-4412_Client_Turn_Around_Form.docView duplicates
in Receiving State: Name of Resource: Address: Type of Care: Placement Change Effective Date of Change: Name of Resource: Address: Type of Care: SECTION III COMPACT
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9135.doc
VR) services, KRS emphasizes strategies that will address the needs of people with the most
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and Family Services coordinate to address the employment and/or post-secondary education
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https://www.dcf.ks.gov/services/RS/Documents/SP-Word/4.11(d)_Strategies_includes_IE.doc
Acknowledgment of Referral / Change / Closure
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Address
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SECTION V Case Status Change
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☐ Court venue change (custody only / services transfer to another region
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☐ Family did not sign Family Case
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4205.docx
Domain 1 (In Crisis) 2 (Vulnerable) 3 (Safe) 4 (Stable/Building Capacity) 5 (Empowered) Score Goal met
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(Yes/No) Housing/Shelter Homeless or threatened with eviction
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7030_instr.doc