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
Mission: Working in partnership with Kansans with disabilities to achieve their goals for
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DRAFT / Email comments by January 17, 2020 to Margaret.Spencer@ks.gov 2 3. Percent of
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https://www.dcf.ks.gov/services/RS/Documents/goals and priorities 2020.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 8400A Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 19
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Community Integration Program (CIP) Site Visit Tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400A.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
State of Kansas PPS 8400G Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 19
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Youth Residential Center II (YRCII) Site Visit Tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400G.pdfView duplicates
Kansas Department of Social and
Rehabilitation Services
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Prepared by:
SRS Office of Financial
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Docking State Office Building, 915 S.W. Harrison, Topeka, KS 66612; (785) 296-6217; e-mail
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https://www.dcf.ks.gov/Agency/Documents/SSBG_StatePlan_SFY2012.pdf
ADULT PROTECTIVE SERVICES N E W W O R K E R O V E R V I E W A U G U S T 2 0 1 6 Strong Families Make a Strong Kansas AGENDA- DAY 1
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• APS Emergency Funds- PPM 10512 and 10900
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https://www.dcf.ks.gov/services/PPS/Documents/APS/APSNewWorkerBootcamp.pdf
Send a scan of the form to the EBT Unit as an attachment to an e-mail to DCF.EBTMAIL@ks.gov
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portions of the form are completed, email the completed form to the Administrative Office
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3142EBT_Ben_Repay05-22.pdfView duplicates
State of Kansas PPS 5258a CCEP Program Department for Children and Families REV 8/11/22
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from the invoice, include them in your e-mail so the payment can be processed without delay
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5258A.pdf