Encrypted CD, encrypted flash drives, encrypted email (email address), fax (fax Number) or mail
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If you have any questions or concerns, you may contact me at (phone number/email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10211.pdfView duplicates
Rev. 06/24 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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PO Box 1424 Topeka, Kansas 66601-1424
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Request for Exception for Child Placement Agency
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Use this form to request an exception to
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Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 657 CPA Request for Exception.pdf
child care facility that is a private
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CPA submits application and materials to DCF via e-mail
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be mailed to Family Foster Home and email to sponsoring Child Placement Agency o License is
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/DCF Family Foster Home Licensure Orientation.pdf
State of Kansas Department for Children and Families Prevention and Protection Services ADOPTION ASSISTANCE REVIEW PPS 6135 Rev. Jan.2025
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Parent 1 Email address
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Parent 2 Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6135.pdf
Appendix 0M Department for Children and Families
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REV. Jan 2025 Prevention and Protection Services
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Page 1 of 2 Initial TDM Summary Form
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Address, email and phone numbers are optional
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0M.pdf
Regional Contact Name: 6) Case Management Provider Contact Agency: Name: Email
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Email: D. Instructions for
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6149.pdf
DCF Provider Agreement Each regional office has a person(s) assigned to create and maintain provider agreements
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This person is referred to as the Provider Agreement Specialist (PAS
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/Provider Agreement - Regional Contacts.pdf
State of Kansas PPS 0332 Department for Children and Families REV. Jan. 25 Prevention and Protection Services Adult Former Foster Child
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0332.pdf
UNIVERSAL PACKET SERVICE ENTRY AUTHORIZATIONS Client Name
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_ Initial when applicable Authorization Explanation Exceptions of By signing below and initialing, the client
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E-mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/2025 kdads-universal-packet-fillable-form 3.5.2025 final accessible.pdf
Agency: Street Address* City, State, Zip* E-Mail Phone Numbe r Fax Number jcerebral Palsy
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Cerebral Palsy Research Foundation Renewal 1 and 2 FY24-25.pdf