Your Current Name: Your Telephone: Your Street Address: Your City/State/Zip: Birth
…
your identifying information (name, address, email address and/or telephone numbers), do not
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0335.doc
Department for Children and Families To: Authority From: East, Kansas City, West, Wichita
…
Name Date: Date Title: Title Telephone: Number E-mail Address: Email Fax Number: Number
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10360.doc
Identifying Information: Name of Parent 1: Email Address: Cell Phone #: Name of Parent 2: Email Address: Cell Phone #: Street Address: City
…
How did they deal with ended
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5318.doc
Department for Children and Families IS-4315
…
Email: Gender
…
TANF $ per month Medical SSI
…
Child Care Plan in Place SSDI $ per month
…
CN Email
…
https://content.dcf.ks.gov/EES/KEESM/Forms/IS-4315EmploymentServicesReferraltoVocationalRehabilitation08-21.docxView duplicates
State of Kansas PPS 10322a
Department for Children and Families Jun-23
Prevention and Protection Services
Adult Protective Services
…
Email
…
Finding Due Date if investigation is not
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10322a.docx
☐ Attach and email all forms to the grantee/provider, regional Family First mailbox and your
…
Use the email subject line: FF_county abbreviation_Lastname_Firstname_4310_Closure
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS4310.docx
Pre-ETS Email and Phone Number
…
Student’s email
…
Parent/Guardian’s email
…
Student’s accommodations/auxiliary aid needs or food allergies if applicable
…
If you do not accept the referral the
…
https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/EmpowerME_referral2.docx
Mother’s right’s terminated/relinquished? Yes No Father’s right’s terminated/relinquished? Yes No
…
Anticipated date of child’s high school graduation
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6155.doc
State of Kansas Aftercare Contact Agreement for Young Adults PPS 3070A
…
Department for Children and Families (For Cases Where Young Adult is not in the Custody of the Secretary
…
Email
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3070A.docx
(if different from above): Father’s name
…
Name: Address: Phone Number: E-Mail Address: Section VI: Additional Information
…
(Email to DCF 30 days prior to the end of aftercare
…
https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5M.doc