V. HOW TO – DCF Administration TASKS
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Appendix C – Technical Document – Interest Report for 1099
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Appendix D – Technical Document – AFCARS Element 65
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Appendix E – Banking – How to Download
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_EP_D.pdf
(not needed for Imprest or SinglePay
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above within the first 10 days of each month after services are
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provide 10 working days’ notice if need exists to terminate this agreement early
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2833.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 Adoption Exchange Child Status Update Form
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PPS 5315 Department for Children and Families REV July 2014 Prevention and Protection
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E-mail address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5315.pdf
State of Kansas Department for Children and Families Prevention and Protection Services CCEP Program Child Care Provider Agreement PPS 5258b REV
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E-mail of Childcare Provider
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https://www.dcf.ks.gov/services/PPS/Documents/FY2022DataReports/Public Website Documents/5258b-CCEPPChild Care Provider Agreement.pdfView duplicates
Page 1 of 4 State of Kansas
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Send copy to: State of Kansas Guardianship Program
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E-mail address
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I. REFERRAL INFORMATION (completed by DCF
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Address (facility, state, city, county & zip code
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10600.pdf
State of Kansas PPS 5927A Instructions Department for Children and Families Rev. October
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Accountant at bottom of Worksheet and e-mail Worksheet with attachments (if applicable) to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5927A_Instr.pdf
State of Kansas PPS 8400D Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 18
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Instructions: The Site Visit Tool is to be completed at
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400D.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 8400A Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 19
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Community Integration Program (CIP) Site Visit Tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400A.pdf