Name of person completing this form
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E-mail address
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Please mark the box for the action to be taken on the family
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(If changes to composition (i.e. marriage, divorce, birth of a child, ect
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5325.doc
Department for Children and Families Prevention and Protection Services
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Provider’s Name: E-mail: Month: Address where care occurs: Year: List all
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5828E.docx
Presented by the Kansas Department for Children and Families
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Recognize when poverty is impacting a family
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Describe what to expect when calling the Kansas Protection Report Center
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https://www.dcf.ks.gov/services/PPS/Documents/Child-MandatedReporting/CPS_Mandated_Reporter_Training.pptx
Mission: Working in partnership with Kansans with disabilities to achieve their goals for
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DRAFT / Email comments by January 17, 2020 to Margaret.Spencer@ks.gov 2 3. Percent of
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https://www.dcf.ks.gov/services/RS/Documents/goals and priorities 2020.pdf
Please email this enrollment form along with a copy of your child support order, income
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If yes, how would you like to receive the surveys: ☐Text ☐Email ☐Both, text & email
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https://www.dcf.ks.gov/services/CSS/Documents/CSS Enrollment Form.pdfView duplicates
Floor Topeka, Kansas 66603 Website: http://www.dcf.ks.gov Email: DCF.FCL@ks.gov
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Family Foster Home Renewal Application Checklist
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Submit the Following Documents with the
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FFH Renewal Application.pdfView duplicates
This agreement is being executed on this date, prior to the finalization of the adoption, for the purpose of adoption assistance and/or medical services for the said child under the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6130.doc
Name of person completing this form
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E-mail address
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Child’s Name: MATCH ID: Facts Client ID
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Is this child a member of a sibling group
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Move child to the private site (child will not
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5315.doc
Disability Determination Referral to Kansas Legal Services Child age birth to 17 years Child/Youth – age 18 to 23 years Child’s Name: DCF Case Number: SSN Street Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5U.doc
The Child Care Exception Payment (CCEP) Program is a supplement to Foster Care Child Care (FCCC) funding
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FCCC funding must be used first where applicable
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E-mail of Childcare Provider
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5258B.docxView duplicates