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
______I (we) understand that permanent custodianship subsidy is at the discretion of the Department
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______I (we) have received a copy of the PPS 6170, Permanent Custodian Change Status Form
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6160.doc
Section 1: State certifications Page 2
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Section 2: Public comment Page 5
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Section 3: Submission of the State Plan Page 6
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Section 4: Administration of the State Plan Page 8
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https://www.dcf.ks.gov/services/RS/Documents/SP-Word/Assurances.doc
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/PPS8400F.doc
: • Locating information • Establishing or enforcement of an order • Modifying a child
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Can I change it
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LEGAL RIGHTS The laws and regulations that control the CSS program may change overtime
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https://www.dcf.ks.gov/services/CSS/Documents/CSS5000 final 1.17.2019 v2.0.pdfView duplicates
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
“The change in Judicial Districts for those in Johnson and Shawnee Counties should be
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make note of will be a new mailing address and office location for the local child support
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https://www.dcf.ks.gov/Newsroom/Pages/NewContractorAnnounced-JO-SN.aspx
Type of Interaction: HI (Home Interview); OI (Office Interview); SI (School Interview) PPS
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fears about what could happen in your relationship with the kids if things don’t change
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS 2019_PRACTICEGUIDANCE.docx
If you move, your new address
If your phone number changes
If your e-mail address changes
If your child leaves your home
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https://www.dcf.ks.gov/services/PPS/Pages/Adoption-Assistance.aspx