S T A T E O F K A N S A S
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Email Address –Email address is required to register for KPCpay
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Log On, the user will be required to change their Password and setup Challenge Questions and
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https://www.dcf.ks.gov/services/CSS/Documents/KPCpay Presentation.Employer_2017.pdf
to the Learning Quest Handbook that address how the CSSI account will be registered for your
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documentation on the CSSI Program Information Change Form that can be obtained from the
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https://www.dcf.ks.gov/services/CSS/Documents/Child Support Savings Iniative Program Description.pdf
This training will address the Privacy element only
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better able to continue health care coverage for existing conditions when you change jobs
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https://www.dcf.ks.gov/Agency/Documents/HIPAA-Training.pdf
Language(s) Spoken in the Home
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July 2019 Page 3 of 7 (To be Updated Annually, or for Significant Change
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Address if they live in the home all of the time or part of the time, and why
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5318.pdf
resource will not be used, (4) report a change in the placement resource and/or type of care, (5) report a change of address, and 6) close an ICPC case
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It is an extremely useful tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9135_instr.pdf
*physical address required, including 9-digit zip code **the Total Expense for this column
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If the requested funding change is less than 10% of the (original) line item amount from
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https://www.dcf.ks.gov/Agency/Operations/Documents/Contract Revision(OGC-2005) ACCESSIBLE 5-17.pdf
U.S. Department of Health and Human Services
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Docking State Office Building, 5 th Floor Topeka, Kansas 66612-1570
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Address: 915 SW Harrison, 5 th Floor, Topeka, KS
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https://www.dcf.ks.gov/services/PPS/Documents/Other/FinalVersionSWAssessment_February2015.pdf
If you need help or have
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address and signature on Page 3 and return the form
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You must re-register each time you change your name, address, or party affiliation for voting
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Street Address
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3100_11-20.pdfView duplicates
form shall also be used to update any information as necessary, i.e., name or address change
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Updating Affiliate Name Updating Affiliate Address Updating Affiliate Role F Faammiillyy F
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.pdf
amount of stock, bond and money market funds in the portfolios is set and will not change
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the beneficiary’s social security number and address from my child support case and use that
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https://www.dcf.ks.gov/services/CSS/Documents/529 Custodial Arrears Booklet 11.16.16.pdf