PPS 1011 State of Kansas REV Apr. 18 Department for Children and Families Child Abuse and Neglect
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Agency Name: Mailing address: Email Address: Phone Number: ( ) I understand that all
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1011.pdf
will take to reach the goal
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: Begin Date Specific & Measurable Action Hours Per Week Due Date
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I am responsible for attending all appointments
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Client Email
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Career Navigator Email
https://content.dcf.ks.gov/ees/KEESM/Appendix/E-9 - GOALS Self-Sufficiency Agreement (English).pdfView duplicates
Kansas Department for Children and Families Prevention and Protection Services Provider Agreements and Service Descriptions Rev 1/3/17
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Each regional office has a person assigned to
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https://www.dcf.ks.gov/services/PPS/Documents/Provider Agreement/ProviderAgreementServices.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Adoptive Family Assessment
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Email Address
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Language(s) Spoken in the Home
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5318.pdf
by sending the ES-4418 electronically to dedicated email and by giving client a hard copy of
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WP proctor sends filled out ES-4418 to Email at CO and copies eligibility team in their
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2013_07_01_keesm_rev_59flowchartattachmentB.pdfView duplicates
will take to reach the goal
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: Begin Date Specific & Measurable Action Hours/Week Due Date
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I am responsible for attending all appointments scheduled with
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Client Email
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Career Navigator Email
https://content.dcf.ks.gov/ees/KEESM/Appendix/E-7 - Employment and Training Self-Sufficienty Agreement (English).pdfView duplicates
FOSTER HOME LICENSING APPLICATION CHECKLIST An Initial application packet for a foster care license
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Please submit the following DCF forms
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FCL 002 KBI/DCF Background check
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Email Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_401_FFHApplication.pdf
State of Kansas Department for Children and Families Prevention and Protection Services FLEX FUND REQUEST
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PPS 4007 January 2015 Page 1
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**SEND ONLY PAGE 1 TO PROVIDER
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EMAIL
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4007.pdf
State of Kansas Department for Children and Families Prevention and Protection Services PPS 3059 Instructions REV. July 2022 Page 1 of 5 My Plan for Successful Adulthood
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059_Instr.pdf
Inc. 731 N Water Suite 2 Wichita, KS 67203 Phone: 316-267-3825 Fax: 316-267-3843 E-Mail
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Wichita 122 N Millwood Wichita, KS 67203 Phone: 316-265-6011 Fax: 316-265-4022 E-Mail
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2008/HB-2879_AttachmentMap.pdf