This form is completed when PPS is purchasing a good or
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enter case worker’s DCF e-mail address
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if approved electronically, copy of e-mail from supervisor who approved the correction must
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2833_instr.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
CUSTODIAL PARENT'S FULL NAME (first, middle, last
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tutions, both our child at the answe __________ email to our se. You t any s the the curity
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B. Weekly Cost During School Year Name and
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https://www.dcf.ks.gov/services/CSS/Documents/SS5033.2 4-2014.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (ALN) Number 93-472 DCF Award Number
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer.goodman@ks.gov (2) To Grantee: TFI
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/TFI Family First NOGA SFY24.pdf
Department for Children and Families REV 10/22/21 Prevention and Protection Services Timesheet Page 1 of 1
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Provider’s Name: E-mail: Month: Address where care occurs: Year
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5828E.pdf
M E M O R A N D U M
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At least 11 hours per week
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• Send an email referral to the E&T regional inbox
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the 30-hour minimum requirement, send an email to the Non-Compliance Coordinator to start
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2022_10_01_keesm_rev_107.pdfView duplicates
Kansas Department for Children and Families Backgrounds Division PO Box 1424 Topeka, KS 66601-1424 Fax: (785) 296-8609 DCF.FPTopeka@ks.gov 12/21
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Email
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By signing below, I/We am/are
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/Fingerprint_Results-Release_of_Information.pdf
(not needed for Imprest or SinglePay
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above within the first 10 days of each month after services are
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provide 10 working days’ notice if need exists to terminate this agreement early
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2833.pdf
Attachment 4.11(a): Comprehensive statewide needs
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Numerous activities contribute to the ongoing assessment of the rehabilitation needs of Kansans with disabilities
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/4 11(a)_CSNA.pdf
State of Kansas Appendix 5U Department for Children and Families July 2014 Prevention and Protection Services
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E-mail address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5U.pdf