SS -5045 Rev 8-13 CHILD SUPPORT SERVICES CHILD SUPPORT SERVICES APPLICATION You should receive the handbook "Handbook for CSS Customers" with this application form
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https://www.dcf.ks.gov/services/CSS/Documents/SS_5045 OLA-082913.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Referral for QRTP Assessment For Child
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Email Address
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Once this form is complete please email to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5115.pdf
Include: Name, Agency, Mailing Address, Telephone Number, Fax Number and E-mail Address
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phone and/or email if available
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Family new phone/email
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Child-only new phone/email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9121.pdf
Email address: Will return via Encrypted email unless marked otherwise
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(Please allow 3-5 days for processing email requests and an additional 5-7 days if returning
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10400.pdfView duplicates
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 070717.pdfView duplicates
The Income Withholding for Support (IWO) is the OMB-approved form used for income withholding in
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• Tribal, intrastate, and interstate cases enforced under Title IV-D of the Social
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https://www.dcf.ks.gov/services/CSS/Documents/iwo_instructions.pdf
EMAIL
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555 S Kansas Ave Topeka, KS 66603
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Kansas Department for Children and Families Foster Care Licensing and Background Checks Division
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320 S Broadway St Pittsburrg, KS 66762
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCBC Contacts Rev 3-20.pdf
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
State of Kansas Department for Children and Families Prevention and Protection Services Independent Living Subsidy Payment Unit Notification PPS 7210 REV 07/15 Page 1 of
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7210.pdf
A. Case Information (to locate case) B. Who is the child in Foster Care added to your household
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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/Foster Care - Child Care Change Form.pdf