Position/Title of individual completing referral
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Email address of individual completing referral
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Phone number of individual completing referral
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Which services are you interested in
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https://www.dcf.ks.gov/services/RS/Documents/RS Forms/General.Referral.Pre-ETS.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
Provide the names and affiliations of the individuals who participated in the statewide assessment process; please also note their roles in the process
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas Statewide Assessment 2023.pdf
Inter Ethnic Placement Act (MEPA/IEPA
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https://www.dcf.ks.gov/services/PPS/Documents/FY2022DataReports/Manuals/PPM.pdf
Appendix 6A REV. Jul.16 About Prevention and
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Mission: Prevention, protection and preservation in child’s time
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Vision: All children are safe in nurturing families and communities
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_6A.pdf
Kansas Social Services Block Grant Proposed State Plan for SFY 2020 SSBG Proposed State Plan
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555 S. Kansas Ave., Topeka, KS 66603-3444, 785-296-0761, email Daniel.Lewien@ks.gov
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https://www.dcf.ks.gov/Newsroom/Documents/ProposedSSBG_StatePlanSFY2020.pdf
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
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
Section 11 / Part 15 Effective Date: August 20, 2007 Length of document: 5 pages
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time commitment and could include phone, email communications and travel to on-site meetings
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Contracts/Section 11 Part-15_Rehab_engineering.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