DOB APPROVAL STAMP (If Required) Revised 05/03/2022
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Kansas Department for Children and Families Beth Lange or Leslie Rannebeck 785-296-3967
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Is/Are the proposed rule(s) and
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https://www.dcf.ks.gov/Newsroom/Documents/Economic Impact statement_FFS_1-4-24.pdf
Kansas Family Mobile Crisis Response successfully launched
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Services are available for all Kansans 20 years old or younger, including anyone in foster care or formerly in foster care
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https://www.dcf.ks.gov/services/PPS/Documents/FY2022DataReports/Family First/Aug_Sept_Oct2021_ Prevention in Kansas.pdf
State of Kansas Authorization to Disclose Information Appendix 5Q Department for Children
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orally, in paper documents, or electronically by e-mail, fax machine, or data entry into the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5Q.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Initial Eligibility Determination
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If the child is school age
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E-mail address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5410A.pdf
State of Kansas PPS 8400H Department for Children and Families Rev. 1/2023 Prevention and Protection Services Page 1 of 20
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Quality Residential Treatment Program (QRTP) Site Visit
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400H.pdf
Can this email address be used to make contact
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State: Zip: Telephone Number: Fax: Email: SSN Federal Employer ID Number
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-12 ES-1650 Regulated Child Care Provider Enrollment REV.pdfView duplicates
State of Kansas Department for Children and Families Prevention and Protection Services Initial Referral to Out of Home Placement Provider For Child in DCF
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Email address
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E-Mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.pdf
State of Kansas PPS 8400E Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 18
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Transitional Living Program (TLP) Site Visit Tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400E.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN
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U.S. Department of Health and Human Services
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This 2024 Annual Progress and Services Report (APSR) is the fourth annual report related to the
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https://www.dcf.ks.gov/services/PPS/Documents/FY2024DataReports/Public Website Documents/Kansas TITLE IV-B APSR 2024_10132023.pdfView duplicates
- Prevention and Protection Services Family Handbook
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Introduction A Message for You Over the past few years, child welfare services in Kansas have placed added value on the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5137.pdf