State of Kansas PPS 6180 Department for Children and Families Jul-2017 Prevention and Protection Services Page 1 of 2 Permanent Custodianship Subsidy Repayment
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6180.pdf
DCF completes this form to request a check from a child’s WARDS account
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Refer to PPM section 5929 for a list of appropriate items that can be
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Enter the DCF WARDS worker’s e-mail address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5929_Instr.pdf
M E M O R A N D U M
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At least 11 hours per week
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• Send an email referral to the E&T regional inbox
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the 30-hour minimum requirement, send an email to the Non-Compliance Coordinator to start
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2022_10_01_keesm_rev_107.pdfView duplicates
DEPARTMENT FOR CHILDREN & FAMILIES CERTIFICATION FOR ORIGINAL IDENTIFICATION CARD
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This form must be completed by DCF/Provider staff
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Email Address
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This form is proof of social
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Email to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_7F.pdf
State of Kansas Department for Children and Families PPS 6130 Prevention and Protection Services REV July 23 ADOPTION ASSISTANCE AGREEMENT
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Check the appropriate box below: This
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6130.pdf
State of Kansas Appendix 5U Department for Children and Families July 2014 Prevention and Protection Services
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E-mail address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5U.pdf
In response, the Children's Bureau (CB
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by e-mail at Christine.lucero@acf.hhs.gov. You may also contact Deborah Smith, Child Welfare Regional Program Manager in Region 7 or by e-mail at
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https://www.dcf.ks.gov/services/PPS/Documents/Other/IVESTATEPLAN.pdf
Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_403_FFHSurveyInstrument-CPA.PDF
KS 66612 785-246-5077 VP Email: Rebecca.Rosenthal@dcf.ks.gov REQUEST FOR APPROVAL OF
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Mail to address shown above or email
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Contact Information: (Telephone Number/email address
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https://www.dcf.ks.gov/services/RS/Documents/CEU Application (updated 7-10-12).pdf
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