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
Kansas Social Services Block Grant State Plan for SFY 2022 Page 1
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Management, 5th Floor, 555 S. Kansas Ave., Topeka, KS 66603-3444, 785-296-0761, email
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The goals of KDADS are to
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https://www.dcf.ks.gov/Agency/Documents/SSBG_State_Plan_SFY2022.pdf
Please email this enrollment form along with a copy of your child support order, income
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If yes, how would you like to receive the surveys: ☐Text ☐Email ☐Both, text & email
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https://www.dcf.ks.gov/services/CSS/Documents/CSS Enrollment Form.pdfView duplicates
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
at least the report source, your name, state, email, relationship to the victim, and a phone
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Reporter’s email address is important to ensure that we can properly address the concern in
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https://www.dcf.ks.gov/services/PPS/Documents/Quick_Guide_to_Online_Reporting.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
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