Initial Request Change Suspend / Terminate Date Effective: Date Effective: Date Effective
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Mentor Name: NA SSN & DOB: Address: Phone #: Email: Will the Mentor be the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7210.doc
KANSAS DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES
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Please address referrals or questions to the appropriate staff below
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72
Regulation 8 -- Change of Placement Purpose
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https://www.dcf.ks.gov/services/PPS/Documents/ICPCtrainingmanual.pdf
focus of this team is to read cases in every stage to address issues early and frequently
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procedure, or KAECSES to make meaningful change to our collections and other performance
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2021/SC on Child Support Enforcement and Collection Testimony.pdf
move to new state New Address: Child-only move to new state New Address: Reason: Family new phone/email New
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9121.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
SMART Vendor ID: Street Address: City, ST Zip: For Services with or without a Provider
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herein; to discuss with provider any change in client’s or agency’s status/plan; and to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2833.doc
EES Program Administrators
September 22, 2011
Page 5 of 8
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M E M O R A N D U M
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SUBJECT: Implementation Instructions - KEESM Revision #49
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Potential Resources – See Summary of Changes item
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/Implementation Memo Rev 49final_9-29-11.docxView duplicates
others share ideas for services and supports to address immediate safety and risk concerns
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© 2021 Evident Change
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0F.docx
does not have the right to appeal a change in policy, and therefore the matter should be
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Name Address Signature
https://content.dcf.ks.gov/EES/KEESM/Appendix/B-4 2023 FA Allotment Motion to Dismiss.docView duplicates
Information: Name of Parent 1: Email Address: Cell Phone #: Name of Parent 2: Email Address: Cell Phone #: Street Address: City, State and Zip Code: County of
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5318.doc