Kansas Social Services Block Grant State Plan for SFY 2021 Page 1
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Management, 5th Floor, 555 S. Kansas Ave., Topeka, KS 66603-3444, 785-296-0761, email
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https://www.dcf.ks.gov/Agency/Documents/SSBG_Proposed_State_Plan_SFY2021-Public_Comment_April_2020.pdf
Mission: Working in partnership with Kansans with disabilities to achieve their goals for
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DRAFT / Email comments by January 17, 2020 to Margaret.Spencer@ks.gov 2 3. Percent of
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https://www.dcf.ks.gov/services/RS/Documents/goals and priorities 2020.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
State of Kansas Department for Children and Families IS-4315 Economic and Employment Services
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Employment Services (ES) Referral to Vocational Rehabilitation (VR) Client
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CN Email
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https://content.dcf.ks.gov/EES/KEESM/Forms/IS-4315EmploymentServicesReferraltoVocationalRehabilitation08-21.pdfView duplicates
PPS 2014 B REV Jan 21 Page 1 of 1
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Referral for Services Child Sexual Behavioral Problems
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of Referral: DCF Office: TO: FROM: EMAIL: TELEPHONE #: CHILD’S NAME DATE OF BIRTH LOCATION
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2014_B.pdf
Foster Care Bill of Rights- Page 1 of 6
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State of Kansas PPS-5138 Department for Children and Families 07/2023 Prevention and Protection Services Page 1 of 6
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(d) if going on a visit
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5138.pdf
DOB APPROVAL STAMP (If Required) Revised 05/03/2022
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Department for Children and Families Rebecca Gerhardt 785-296-3825
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Agency Agency Contact Contact Phone Number
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https://www.dcf.ks.gov/Newsroom/Documents/Economic_Impact_Statement-Rules_and_Regulations-JCIC 9-22-2023.pdf
Kansas Department of Social and
Rehabilitation Services
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Prepared by:
SRS Office of Financial
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Docking State Office Building, 915 S.W. Harrison, Topeka, KS 66612; (785) 296-6217; e-mail
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https://www.dcf.ks.gov/Agency/Documents/SSBG_StatePlan_SFY2012.pdf
State of Kansas PPS 5258a CCEP Program Department for Children and Families REV 8/11/22
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from the invoice, include them in your e-mail so the payment can be processed without delay
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5258A.pdf
(Donor must have picture ID to show to collection site personnel
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Type of Test to Be Conducted: Drug Test (NIDA/5) Panel
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Normal Collection - H39 Screen 5, PCP
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852-5201 or email
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https://content.dcf.ks.gov/ees/KEESM/Forms/ES-4108_Collection_Site_Passport.pdfView duplicates