Return to: DCF.KSADPSearch@ks.gov OR DCF/Prevention and Protection Services 555 S. Kansas Ave 4 th Floor Topeka, KS 66603 Adult Adoptee/Birth Sibling Requesting
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Your email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0340.pdf
SERVICE DESCRIPTION
APPENDIX C: ASSESSMENT - VOCATIONAL ASSESSMENT KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Rehabilitation Services PAYMENT-FOR-PERFORMANCE - VOCATIONAL
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Service Descriptions 2024/Vocational Assessment_servicedescription.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
If it is in fact an
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to the Family First Grantee (Provider) (shown in the box below by region), Regional Family First Email Inbox (shown in Section 1), and the Region’s FACTS Email Inbox
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311_Instr.pdf
☐ African ☐ American Indian/Alaska Native ☐ Asian ☐ Black/African American
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Caregiver Email
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Case Manager Email
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Primary Physician Email
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/BI_Program_Referral.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
Appendix 0E Department for Children and
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The TDM Scheduler will invite professionals if email address is available
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Phone number/email address
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For scheduling, email the completed form to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0E.pdf
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
DEPARTMENT FOR CHILDREN AND FAMILIES - ECONOMIC AND EMPLOYMENT SERVICES POLICIES AND PROCEDURES
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exchange of Federal Tax Information via both e-mail and facsimile are strictly prohibited
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https://content.dcf.ks.gov/EES/KEESM/Appendix/X-7_safeguard_2018.pdfView duplicates
EES Policy No. 23-07-07 RE: Replacement of Stolen EBT Benefits due to card skimming, card
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benefits can be submitted verbally in-person or by phone or in writing through email or mail
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https://content.dcf.ks.gov/ees/KEESM/Policy_Memo/23-07-07FoodAssistanceReplacementofStolenEBTBenefits.pdfView duplicates