Kansas Social Services Block Grant Proposed State Plan for SFY 2020 SSBG Proposed State Plan
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555 S. Kansas Ave., Topeka, KS 66603-3444, 785-296-0761, email Daniel.Lewien@ks.gov
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https://www.dcf.ks.gov/Newsroom/Documents/ProposedSSBG_StatePlanSFY2020.pdf
Kansas Social Services Block Grant State Plan for SFY 2023 Page 1 TITLE XX: SOCIAL
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Management, 5th Floor, 555 S. Kansas Ave., Topeka, KS 66603-3444, 785-296-0761, email
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https://www.dcf.ks.gov/Agency/Documents/SSBG State Plan SFY2023.pdfView duplicates
State of Kansas Department for Children and Families IS-4315 Economic and Employment Services
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Employment Services (ES) Referral to Vocational Rehabilitation (VR) Client
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CN Email
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https://content.dcf.ks.gov/EES/KEESM/Forms/IS-4315EmploymentServicesReferraltoVocationalRehabilitation08-21.pdfView duplicates
PPS 2014 B REV Jan 21 Page 1 of 1
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Referral for Services Child Sexual Behavioral Problems
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of Referral: DCF Office: TO: FROM: EMAIL: TELEPHONE #: CHILD’S NAME DATE OF BIRTH LOCATION
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2014_B.pdf
Foster Care Bill of Rights- Page 1 of 6
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State of Kansas PPS-5138 Department for Children and Families 07/2023 Prevention and Protection Services Page 1 of 6
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(d) if going on a visit
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5138.pdf
DOB APPROVAL STAMP (If Required) Revised 05/03/2022
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Department for Children and Families Rebecca Gerhardt 785-296-3825
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Agency Agency Contact Contact Phone Number
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https://www.dcf.ks.gov/Newsroom/Documents/Economic_Impact_Statement-Rules_and_Regulations-JCIC 9-22-2023.pdf
(Donor must have picture ID to show to collection site personnel
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Type of Test to Be Conducted: Drug Test (NIDA/5) Panel
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Normal Collection - H39 Screen 5, PCP
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852-5201 or email
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https://content.dcf.ks.gov/ees/KEESM/Forms/ES-4108_Collection_Site_Passport.pdfView duplicates
Kansas Department of Social and
Rehabilitation Services
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Prepared by:
SRS Office of Financial
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Docking State Office Building, 915 S.W. Harrison, Topeka, KS 66612; (785) 296-6217; e-mail
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https://www.dcf.ks.gov/Agency/Documents/SSBG_StatePlan_SFY2012.pdf
Send a scan of the form to the EBT Unit as an attachment to an e-mail to DCF.EBTMAIL@ks.gov
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portions of the form are completed, email the completed form to the Administrative Office
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3142EBT_Ben_Repay05-22.pdfView duplicates
Address Apt. # City State Zip Code Telephone E-mail County B. Do you appoint someone other
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Telephone Address Apt. # City State Zip E-mail State of Kansas Social and Rehabilitation
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https://www.dcf.ks.gov/Documents/Food/ES-3100.8_Application_Redetermination_01-06.pdf