Adoption Child Profile and Website Registration Match Form
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Check One) Initial Referral Profile Update, CH
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Phone: Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5310.docx
Transitional Living Program (TLP) Site Visit Tool
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Instructions: The Site Visit Tool is to be completed at in-person site visits for initial reviews, 90-day reviews and annual reviews
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400E.doc
Cell Phone: Email Address
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How many people live in your household
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Are you responsible for caring for a disabled person daily
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Do you have minor children who are temporarily out
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-6FAETSelfAssessment06-19.docxView duplicates
Quality Residential Treatment Program (QRTP) Site Visit Tool
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Instructions: The Site Visit Tool is to be completed at in-person site visits for initial reviews, 90-day reviews and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400H.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
Question 1: The RFP states that persons eligible for OIB services "are individuals who are age 55 or older whose significant visual impairments make
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Email: Brie.Wilkins@dcf.ks.gov
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https://www.dcf.ks.gov/services/RS/Documents/OIB_QA_10-3-12.docx
A. Social Security Benefits: Yes No If yes, amount
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Anticipated date of youth’s high school graduation
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PPS Administration Use Only for Approval
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6301.doc
Income of the child (include all income and the source
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Note: Reference Sections 6112C and 6113 in the PPS PPM
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Please attach statement from family as to why they wish to pursue
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6150.doc
State of Kansas Department for Children and Families
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As human trafficking legislation is passed, the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_2A.docx
Action Plan – Service Provider develops and documents method of delivering requested service
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Notification - A communication (e.g., EDI, email, fax, mobile device, publication, telephone
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https://www.dcf.ks.gov/Agency/Operations/Documents/Appendix D - Abbreviation and Terminology.doc