Email Address
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What has prompted this referral to 2Gen
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If Other was selected, please explain
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Is the family receiving TANF, Child Care or Food Assistance benefits through DCF
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/2Gen.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN Submitted To
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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
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas TITLE IV-B CFSP 2025 - 2029-A.pdf
State of Kansas PPS 3059C Department for Children and
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Email/Phone
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Alternative Email or Social Media Contact
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If you have any NYTD questions, please email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059C.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
Email
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Department for Children and Families Department for Children and Families
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Team Decision Making is a structured meeting
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called to make a decision about where your child
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix 0Q TDM Brochure English.pdf
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
☐ 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
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
State of Kansas PPS 3059B Department for Children and Families
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Phone/Email
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Family Waiver Care: 785-296-9551 or email tawaiver@family-waiver-care.com
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059B.pdf