State of Kansas Department for Children and Families Prevention and Protection Services Family Preservation Referral PPS 4200 REV January-2025 Page 1 of 5
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CPS Specialist’s Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4200.pdf
Kansas Open Records Act K.S.A. 45-215 et seq. REQUEST FORM
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I hereby certify that I will not
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(A) use any list of names or addresses contained in or derived from the records or information
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https://www.dcf.ks.gov/Records/Documents/KansasOpenRecordsAct_RequestForm.pdf
Return to: DCF.KSADPSearch@ks.gov OR DCF/Prevention and Protection Services 555 S. Kansas Ave 4 th Floor Topeka, KS 66603 Birth Parent Requesting Search/Contact With Adult
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Your Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0335.pdf
State of Kansas PPS 3059C Department for Children and
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Email/Phone
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Alternative Email or Social Media Contact
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If you have any NYTD questions, please email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059C.pdf
the use of the TDM Request Form, in addition to communication via phone, in-person or email
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hours that a TDM is needed, the CPS Specialist shall notify the TDM Scheduler via email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0D.pdf
identifiable such as your name, e-mail address, and other non-public information, and
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It is up to you to
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You agree that any such comments and any email we receive becomes our property
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https://www.dcf.ks.gov/Newsroom/Documents/DCFMobileCommunicationsPrivacyPolicy.pdf
Return to: Prevention and Protection Services 555 S. Kansas Ave 4 th Floor Topeka, KS 66603 (785) 296-4653 Authorization To Release Information Form PPS 0350 REV
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Your email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0350.pdf
NOTICE TO PARENT: This is an important legal document and by signing it you are permanently giving up all custody and other parental rights to the child named herein
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5J.pdf
Return to: DCF.KSADPSearch@ks.gov OR DCF/Prevention and Protection Services 555 S. Kansas Ave 4 th Floor Topeka, KS 66603 PPS 0330 REV. Jan-25
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Note: This form is to be used by
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0330.pdf
Amendment Number: 1 Grant RFP: We Kan Drive RFP
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E-Mail Address: William.heckard@ks.gov
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Agency: Kansas Department for Children and Families
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Conditions: Please see response to questions
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https://www.dcf.ks.gov/Agency/Operations/Documents/RFP WKD QA Amendment.pdf