DCF REGION: SERVICE COUNTY: PROVIDER: REQUESTOR Name (f, mi., l): SSN: Address
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PPS STAFF NAME: DATE: PHONE: EMAIL: PPS SUPERVISOR AUTHORIZATION: Supervisor or
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4007.doc
Telephone # (Cell) City, State Zip: Email address: Permanent Custodians shall use
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Note the following changes and return to the designated office within thirty (30) days of the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6170.doc
Mailing Address (Street, City, State, Zip Code
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Email
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I/We agree to make monthly payments of $ __per month for consecutive months to complete repayment of the debt
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6180.doc
REPORT/REQUEST FOR SERVICES PPS 1001
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Jul 20 Case Name: Click here to enter text
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Report Date Click here to enter a date
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Email: Employer: Report Source (Relationship) Choose an item
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1001.doc
if multiple student names appear on an e-mail message to be filed in the service record
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of contact would be phone call to the student, email to the student (if appropriate), and/or
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_7-8.docx
Child: minor under the age of 18
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Consul/consular officer: foreign government official
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Affairs through http://travel.state.gov/consularnotification or email at consnot@state.gov
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5E.doc
All releases and fees should be sent via postal mail to the attention of: DCF, Child Abuse
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Contact Person: Agency Name: Mailing address: Email Address: Phone Number
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1011.doc
Are the prevention clearinghouse ratings available yet
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Do the mental health therapists have to be certified in the
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Which is the correct email address for communications re: this RFP
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https://www.dcf.ks.gov/Agency/Operations/Documents/Old RFP's and RFP Amendments/Family First Prevention RFP Questions and Answers.docx
The PPS 3031 serves as a service plan for families to receive soon after a child or children
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a copy of the ISP (either via digitally/email or printed/hard copy); thus, it is imperative
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3031_Instr.docx
Items that RS will fill in and will remain unchanged for the duration of the grant year
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All lines in the Approved Budget column (B13-B24
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Contact e-mail (A,B,C 7
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https://www.dcf.ks.gov/services/RS/Documents/CIL RFP 4 Counties/Attachment_E4_Monthly_Fiscal Final.doc