SECTION I: Identifying Information – Completed by CPS/FC Liaison/IL Coordinator
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Date of Intake Assignment: Click or tap to enter a date
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Best way to contact family (phone, text, person
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311.docx
State of Kansas Department for Children and Families Prevention and Protection Services Family First Prevention Plan and Service Referral/Case Status Form PPS 4311 REV Jul-25 Page 1
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311.pdf