FP-1020 10/21 Page 1 of 1
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Kansas Department for Children and Families
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Instructions: *REQUIRED FIELDS Please Fill in ALL Lines on this Form
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*Have You ever been fingerprinted for DCF
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FP-1020 With Waiver.pdf
Summary of Prevention and Protection Services (PPS) Policy and Procedure Manual Changes January 2023 1 Introduction
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These policy revisions are effective January 1, 2023
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of Changes/Summary of Changes - 2023.1.pdf
Summary of Prevention and Protection Services (PPS) Policy and Procedure Manual Changes January 2021
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These policy revisions are effective January 1, 2021
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APS Investigators Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of Changes/Summary of Changes - 2021.1.pdf
ADDITIONAL INFORMATION: PRELIMINARY INQUIRY or ANY ADDITIONAL INFORMATION OBTAINED AFTER THE INITIAL REPORT
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Et (E-mail to
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Ef (E-mail from
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1001A.pdf
SHANNON CONNELL, FOOD SECURITY AND UTILITY ASSISTANCE DIRECTOR
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out by teams in 36 service centers
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Economic and Employment Services (EES) provides a variety of programs that can help
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2023/1.19 H WF DCF SNAP.pdf
PPS 1011 State of Kansas REV Apr. 18 Department for Children and Families Child Abuse and Neglect
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Agency Name: Mailing address: Email Address: Phone Number: ( ) I understand that all
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1011.pdf
Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 403 FFH Survey Instrument-CPA.pdf
Equipment Pre-Approval Requests must be submitted and approved before any purchase of equipment is made
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Equipment is an article of tangible personal property that has a useful life of
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https://www.dcf.ks.gov/Agency/Operations/Documents/EquipmentPre-Approval(OGC-4004)accessible.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN
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U.S. Department of Health and Human Services
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This Child and Family Services Plan (CFSP) is the report for the five-year time period Fiscal Year
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https://www.dcf.ks.gov/services/PPS/Documents/Other/TitleIVBStatePlan.pdf
What does family mean to you
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Art design may not contain profanity
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Art design will be judged on originality and creativity
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Winners will be chosen by a panel of judges
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Email submissions to
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https://www.dcf.ks.gov/Documents/Spotlight News/2021 DCF Child Support Art Contest - Accessible.pdf