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
helpful for obtaining information on females, as a female’s name may change when she marries
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last name, city and state to obtain all people (with same last name) phone/address listings
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_3N.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
CAP. Facilities will have 14 days to address the missing items and submit corrections or a
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coping skills, social skills, and to address any underlying problems which are affecting the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400C.docView duplicates
CAP. Facilities will have 14 days to address the missing items and submit corrections or a
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or arrange for strength-based interventions to address crisis and or daily living situations
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400E.doc
Youth Residential Center II (YRCII) Site Visit Tool
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Instructions: The Site Visit Tool is to
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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/PPS8400G.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
CAP. Facilities will have 14 days to address missing items and submit corrections or a plan
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or arrange for strength-based interventions to address crisis and or daily living situations
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400A.doc
their strengths and needs, and to address any current or future challenges while preparing
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This document is expected to change over the course of the youth’s years leading up to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059_Instr.doc
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