Child Demographics
…
Child’s Name
…
Child’s DOB
…
☐ Child Abuse ☐ Domestic Violence ☐ Neglect
…
☐ Sexual Abuse ☐ N/A
…
Does the child have any physical disabilities
…
If yes, what are they and
…
https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/BI_Program_Referral.pdf
safely in their parents’ care due to abuse, neglect, parental incapacity, or other unsafe circumstance
…
https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/1.29 HB 2075 DCF Testimony.pdfView duplicates
that DCF perform certain duties—investigate abuse and neglect, and care for children whom the
…
Child Abuse Prevention
…
Child Support Services (CSS) Economic and Employment Services (EES
…
https://www.dcf.ks.gov/Agency/Documents/SSBG Proposed State Plan SFY2026.pdf
actions or inactions do not meet the abuse and/or neglect definitions per applicable K.S.A. and K.A.R.
https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/CPS/Investigative Findings_FY2025.pdf
and protect the safety of a victim of child abuse or neglect and of any other child under the same care who may be in danger
…
https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/2.7 DCF HB 2175 DCF Neutral Testimony.pdf
ICPC Home Study PPS 9150 REV
…
If child to be placed will need to share a room with a child already in the home, are there any concerns by the parents or the child having to share space
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9150.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (ALN) Number DCF Award Number PPS-2025-KYAC-01 THIS AGREEMENT MADE THIS DAY BETWEEN
…
having a place of business at
…
https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/DCCCA Inc KYAC NOGA SFY25.pdfView duplicates
Neglect
…
**Other includes: Alcohol Abuse by Child, Drug Abuse by Child, Child's Disability, Death Of Parent, Inadequate Housing
…
***Physical Abuse: Human Trafficking-Labor, Physical Abuse
…
https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/FCAD_Summary/RemovalReasonsbyCountyFY2025.pdf
Determine if each child is a Candidacy of Care by check marking yes or no. If yes, please
…
If it is in fact an
…
•All Abuse/Neglect & FINA referrals require the PPS 1000 and the PPS 2020
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311_Instr.pdf
injury o Suspicious physical injury o Child injured during family violence o Female
…
for further assessment Abuse/Neglect Investigation
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_1A.pdf