SECTION I: Note: This is a Change of Venue This was an open Family Preservation case
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Female Referral to: R/FC Reinstatement Date Referred: Time Referred: AM PM Referring
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.doc
State of Kansas Department for Children and Families Prevention and Protection Services Initial Referral to Out of Home Placement Provider For Child in DCF Custody PPS 5110 Rev
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.pdf