State of Kansas Department for Children and Families Prevention and Protection Services Initial Referral to Out of Home Placement Provider For Child in DCF
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Email address
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E-Mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.pdf
***Document to be used when child is legally free for adoption
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Does the Indian Child Welfare Act apply
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☐ Relinquishment Accepted and Approved by Agency
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Date waiver email sent
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5400_Fillable.pdfView duplicates
Department for Children and Families July 2016
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Notification to KDADS Licensed Community Based Facility Chief
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E-Mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10125.pdf
Purpose: In compliance with the Association of Administrators of the Interstate Compact on the Placement of Children (AAICPC), the assigned Case Manager must discuss with the
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Email
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9100.pdf
DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing and Background Checks Division PO BOX 1424
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Printed Name Phone # Email Address
https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_653_RecommendationForUse.pdf
with electronic signature (name typed), attach request form to e-mail from WARDS Worker
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For WARDS Worker: After client signs, scan and e-mail a copy to the WARDS Accountant
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5929.pdf
State of Kansas Department for Children
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TO: Include: Name, Agency, Mailing Address, Telephone Number, Fax Number and E-mail Address
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E-mail: (If not the same as in Section 3 above
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9110.pdf
State of Kansas Department for Children and Families Prevention and Protection Services PPS 3059 Instructions REV. July 2022 Page 1 of 5 My Plan for Successful Adulthood
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059_Instr.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
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Foster Care Licensing and Background Checks Division PO BOX
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CPA Licensing Social Worker e-mail address Telephone Number and Extension Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_407_FFHRequestForAmendment.pdf