Non-KORA Agency Records Request Form * REQUESTOR INFORMATION
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Requestor Work Email
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Please provide the following information on the person whose Kansas DCF case history is being
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https://www.dcf.ks.gov/Records/Documents/Non-KORA-Agency-RecordsRequestForm.pdf
c. Issue a reply to the requesting email stating whether the request is approved or denied
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d. Send the return email response within 1 hour of the complete exception request being
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Emergency Afterhours Over Capacity Exceptions.pdf
Agency name Agency mailing address Email address: Will return via Encrypted email unless marked otherwise
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/OBI10400 Adult Registry ROI.pdf
Address Apt. # City State Zip Code Telephone E-mail County B. Do you appoint someone other
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Telephone Address Apt. # City State Zip E-mail State of Kansas Social and Rehabilitation
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https://www.dcf.ks.gov/Documents/Food/ES-3100.8_Application_Redetermination_01-06.pdf
A. Case Information (to locate case) B. Who is the
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Social Security Number Phone Email Street Address
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Printed Name of FC CMP/CPA Representative Representative Contact Email
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https://www.dcf.ks.gov/services/PPS/Documents/FC-CC Change Form.pdfView duplicates
The following content was developed by a team of Trainers and Legal Advisors
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: • e-mail • fax • information on the computer • voice • paper The HIPAA Privacy Rule says
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https://www.dcf.ks.gov/Agency/Documents/HIPAA-Training.pdf
My Plan for Successful Adulthood State of Kansas PPS 3059 Department for Children and
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for keeping a schedule, setting up an e-mail, and communicating in a professional manner
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059.pdf
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Mailing Address: PO BOX 1424 Topeka, KS 66601 Physical
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Website: http://www.dcf.ks.gov Email: DCF.FCL002@ks.gov AUTHORIZATON FOR
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.pdf
66603 Website: http://www.dcf.ks.gov Email: DCF.FCLExceptions@ks.gov Request for Amendment
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Agencies Complete and return by email to: DCF.FCLExceptions@ks.gov Describe the reason for
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 652 Amendment for CPA.pdf
Strong Families Make A Strong Kansas Kansas Child Support Services Incentives to Reduce State Owed Arrears
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Nurturing Parenting (Smart Start NW Kansas), email
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www.fathers.com/ email
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https://www.dcf.ks.gov/services/CSS/Documents/Incentives for state arrears community 01.24.18.pdf