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Microsoft Word
Case Managers: Use this form to request a reimbursement for out-of-pocket expenses a foster caregiver incurred … Include receipts (cashed checks, credit card statement, screen print from …
Date: 3/31/2022 Size: 27KB

https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5258D.docx

Microsoft Word
Case Managers: Use this form to request a reimbursement for out-of-pocket expenses a foster caregiver incurred … Include receipts (cashed checks, credit card statement, screen print from …
Date: 10/22/2021 Size: 27KB

https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5258D.docx

State of Kansas Department for Children and Families Prevention and Protection Services Child Care Exception Payment Program Request for Out-of-Pocket Reimbursement PPS 5258d REV …
Date: 1/30/2022 Size: 213KB

https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5258D.pdf

State of Kansas Department for Children and Families Prevention and Protection Services Child Care Exception Payment Program Request for Out-of-Pocket Reimbursement PPS 5258d REV …
Date: 5/24/2022 Size: 172KB

https://www.dcf.ks.gov/services/PPS/Documents/FY2022DataReports/Public Website Documents/5258d-CCEPP Out-of-Pocket Reibmrusement Form.pdf

State of Kansas Department for Children and Families Prevention and Protection Services Child Care Exception Payment Program Request for Out-of-Pocket Reimbursement PPS 5258D REV …
Date: 4/2/2022 Size: 219KB

https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5258D.pdf