As a relative, you are not
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Can this email address be used to make contact ⃝ Yes ⃝ No
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State: Zip: Primary Telephone Number: Alternate Telephone Number: Email Address
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-15 ES-1653Out of Home Relative Child Care Provider Enrollment.pdfView duplicates
email and sent to corresponding regional email, including “County.SOUL FAMILY SUBSIDY.Youth
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Permanency Residential Custodian will receive an email from OAR Docusign to complete Direct
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6300.pdf
SS -5045 Rev 8-13 CHILD SUPPORT SERVICES CHILD SUPPORT SERVICES APPLICATION You should receive the handbook "Handbook for CSS Customers" with this application form
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https://www.dcf.ks.gov/services/CSS/Documents/SS_5045 OLA-082913.pdf
FOOD ASSISTANCE DISQUALIFIED RECIPIENT REPORT Rev. 02-17
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INSTRUCTIONS: Complete this form and email to
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DCF.EBTMAIL@ks.gov within 20 days of the disqualification
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-524_FS_Disqualification02-17.pdfView duplicates
Lindsey has been receiving TAF benefits for 42 months
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She has an open MACM case at the
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Mark the TAF Work Incentive box and email to the CH. Follow up: At the end of the 5 th
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/50 2008_1117_taf_work_incent_paymnt_AttchmentA.pdfView duplicates
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
Electronic Benefit Transfer Unit Email: EBTMAIL (DCF.EBTMAIL@ks.gov) Topeka DCF Admin Phone
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The loss must also be reported within 10 days of the date the disaster occurred
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3143_fs_disaster_form_08-21.pdfView duplicates
State of Kansas Department for Children and Families Prevention and Protection Services Referral for QRTP Assessment For Child
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Email Address
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Once this form is complete please email to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5115.pdf
A CAP may be offered on a
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i. Send to AG’s office using email address (ANE@AG.ks.gov) ii
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Body of the email should say: “Please see attached documents concerning the unsuccessful
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10250_Instr.pdf
ATTACHMENT A Workforce Center contact information Offices with * require an orientation prior
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Location Office Phone # Office Email Address Chanute (at the Jr. College) (620) 431-2820
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2013_07_01_keesm_rev_59WFCContactinfoattachmentA.pdfView duplicates