Section 11- To be completed by Licensee(s
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Part A- Release of information: Release my information to the following person/agency
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Part B: Purpose(s) of Release
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Email: Address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 000 Release of Compliance History.pdf
Under Federal Grant Award (ALN) Number 93.558
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Kansas Department for Children and Families
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having a place of business at
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Changes in Key Personnel or Board
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Email: Sheila.Hollis@ks.gov
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC NOGA FY25.pdf
telehealthrocks.org | TelehealthROCKS@kumc.edu School-Based Community Health Workers Background of Community Health Workers in Schools School-based community health workers help
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/SchoolBased_CommunityHealthWorkerCHW.pdf
Rehabilitation Services Policy Manual SECTION Administrative Issues SECTION NO. 1-1 PART Organizational Structure PUBLISHED 11/24 Page 1 of 1 Section 1 Administrative Issues Part 1
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https://www.dcf.ks.gov/services/RS/Documents/Policy/Sec_1,Sec_2, Sec_3, Sec_4, Sec_5, Sec_6, Sec_7_withoutlinks.pdf
FCL 004 Rev. 09/25 Kansas Department for Children and Families Foster Care Licensing and Background Checks Division 500 SW Van Buren
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Phone Number Fax Number E-Mail
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 004 NOSF for Sponsoring Agency Fillable.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN ANNUAL PROGRESS AND SERVICES REPORT Submitted To
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U.S. Department of Health and Human Services
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This 2025 Annual Progress and Services Report
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas TITLE IV-B 2025 APSR-A.pdf
KANSAS DEPARTMENT FOR CHILDREN & FAMILIES JOINT COMMITTEE ON CHILD WELFARE SYSTEM OVERSIGHT SECRETARY LAURA HOWARD | 6.2.20253 | BYTHE NUMBERS 7 | REQUESTED QUARTERLY DATA 20 | HB2075
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/6.2 DCF CWSO Updates Final.pdf
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
The contents of the PPS Policy and Procedure Manual include: A. Policies which define required or prohibited actions
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Policies may contain the following language: 1. Statements
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/PDF Manuals/Policy_and_Procedure_Manual_July2025.pdf
This supplemental summary of change includes substantial changes prompted by Kansas House
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The Summary of Prevention and Protection Services (PPS) Policy and Procedure Manual Changes
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of Changes/Summary of Changes - 2025.7b.pdf