Child Demographics
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Child’s Name
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Child’s DOB
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☐ Child Abuse ☐ Domestic Violence ☐ Neglect
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☐ Sexual Abuse ☐ N/A
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Does the child have any physical disabilities
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If yes, what are they and
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/BI_Program_Referral.pdf
The specific ask of DCF is a breakdown of the total dollars spent since 2020 on Child Care
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We also check for adult abuse & neglect findings
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/2.25 DCF Follow-Up Information on Child Care Subsidy.pdf
safely in their parents’ care due to abuse, neglect, parental incapacity, or other unsafe circumstance
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/1.29 HB 2075 DCF Testimony.pdfView duplicates
0160 Glossary A Abuse/Neglect: Reports assigned for Abuse/Neglect require an investigation to determine the
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mental or emotional harm or the causing of a deterioration of a child, and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/PDF Manuals/Policy_and_Procedure_Manual_July2025.pdf
Determine if each child is a Candidacy of Care by check marking yes or no. If yes, please
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If it is in fact an
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•All Abuse/Neglect & FINA referrals require the PPS 1000 and the PPS 2020
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311_Instr.pdf
PPM 1300 Initial Assessment of Report Alleging a Child is in Need of Care, PPM 1301
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PPM 2750 DCF Responsibilities at Referral to Foster Care Child Welfare Case
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of Changes/Summary of Changes - 2020.1.pdf
requires the Secretary to receive law enforcement referrals related to a child who may be the victim of abuse or neglect and provide an update to the referring law
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https://www.dcf.ks.gov/Documents/Stakeholder/DCFStakeholderMeeting2025_El Dorado.pdf
Rehabilitation Services Policy Manual SECTION Administrative Issues SECTION NO. 1-1 PART Organizational Structure PUBLISHED 11/24 Page 1 of 1 Section 1 Administrative Issues Part 1
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https://www.dcf.ks.gov/services/RS/Documents/Policy/Sec_1,Sec_2, Sec_3, Sec_4, Sec_5, Sec_6, Sec_7_withoutlinks.pdf
to receive law enforcement referrals related to a child who may be the victim of abuse or neglect and provide an update to the referring law
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https://www.dcf.ks.gov/Documents/Stakeholder/DCF Stakeholder Meeting 2025.pdf
on their experience with MST Having a child with mental health and substance abuse difficulties was a phenomenal hardship on all
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/MST_Brochure_FactSheet.pdf