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
State of Kansas PPS 8400B Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 19
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Instructions: The Site Visit Tool is to be completed at
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400B.pdfView duplicates
In response, the Children's Bureau (CB
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by e-mail at Christine.lucero@acf.hhs.gov. You may also contact Deborah Smith, Child Welfare Regional Program Manager in Region 7 or by e-mail at
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https://www.dcf.ks.gov/services/PPS/Documents/Other/IVESTATEPLAN.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
State of Kansas PPS 6180 Department for Children and Families Jul-2017 Prevention and Protection Services Page 1 of 2 Permanent Custodianship Subsidy Repayment
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6180.pdf
SHE DREAMS OF COLLEGE TOGETHER, WE CAN MAKE THAT DREAM HAPPENYOUR CHILD GETS HIGHER EDUCATION YOU GET DEBT
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Noncustodial Parent’s Email Address
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https://www.dcf.ks.gov/services/CSS/Documents/529 Custodial Arrears Booklet 11.16.16.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
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.pdfView duplicates