UNIVERSAL PACKET SERVICE ENTRY AUTHORIZATIONS Client Name
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_ Initial when applicable Authorization Explanation Exceptions of By signing below and initialing, the client
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E-mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/2025 kdads-universal-packet-fillable-form 3.5.2025 final accessible.pdf
If it is in fact an
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to the Family First Grantee (Provider) (shown in the box below by region), Regional Family First Email Inbox (shown in Section 1), and the Region’s FACTS Email Inbox
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311_Instr.pdf
☐ African ☐ American Indian/Alaska Native ☐ Asian ☐ Black/African American
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Caregiver Email
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Case Manager Email
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Primary Physician Email
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/BI_Program_Referral.pdf
Workforce Innovation and Opportunity Act Program Year 2023
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Kansas Rehabilitation Services Mission & Principles pg
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Note from Rehabilitation Services Director pg
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Email
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https://www.dcf.ks.gov/services/RS/Documents/PY2023 SRC Annual Report.pdf
DEPARTMENT FOR CHILDREN AND FAMILIES - ECONOMIC AND EMPLOYMENT SERVICES POLICIES AND PROCEDURES
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exchange of Federal Tax Information via both e-mail and facsimile are strictly prohibited
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https://content.dcf.ks.gov/EES/KEESM/Appendix/X-7_safeguard_2018.pdfView duplicates
State of Kansas PPS 3059B Department for Children and Families
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Phone/Email
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Family Waiver Care: 785-296-9551 or email tawaiver@family-waiver-care.com
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059B.pdf
LOW INCOME ENERGY ASSISTANCE PROGRAM (LIEAP) 8-24-A
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How can you apply for LIEAP
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Log In to the online portal to begin
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You can return it to us
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By email
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By fax To find your local DCF office
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https://content.dcf.ks.gov/ees/KEESM/Forms/ES-3500LIEAPApplication11.23.pdfView duplicates
email and sent to corresponding regional email, including “County.SOUL FAMILY SUBSIDY.Youth
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Permanency Residential Custodian will receive an email from OAR Docusign to complete Direct
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6300.pdf
cycle of poverty across generations by assisting
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children and their caregivers as a unified family
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We provide personalized one-on-one, virtual, and
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and referrals, to tackle the root
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/2Gen.pdf
KFSC is a part of the Kansas Center for Autism Research
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Training (KCART) at the University of
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E R V I C E S Contact us via email (kfsc@kumc.edu) or our phone line (913-897-8471) for more
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/KFSC.pdf