Agency name Agency mailing address Email address: Will return via Encrypted email unless marked otherwise
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Email: DCF.APSRegistry@ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10400.docx
Click here to open email to: mailto:SafeCareKS@cmh.edu Once email opens, attach saved form
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The Integrated Referral and Intake System
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PPS SPECIALIST’S EMAIL ADDRESS
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PPS SUPERVISOR’S EMAIL
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2450 .docx
Department for Children and Families REV. July 2022
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Do you have a safe place to
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for keeping a schedule, setting up an e-mail, and communicating in a professional manner
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059.docx
SECTION I: Identifying Information – Completed by CPS/FC Liaison/IL Coordinator
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Date of Intake Assignment: Click or tap to enter a date
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Family First Regional Email (check one below
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311.docx
Email
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B. Type of Agency ☐Public ☐Private Non-Profit ☐Private Profit
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C. Official Authorized to Sign Application
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F. Type of Application ☐New ☐Revision ☐Continuation of Grant
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https://www.dcf.ks.gov/services/RS/Documents/OIB_AttachmentA.docxView duplicates
who wish to submit comments in writing may do so using the following email addresses
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or other accommodations, please email Barbara.Mah@dcf.ks.gov or call 785-368-7112 or TDD
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https://www.dcf.ks.gov/services/RS/Documents/Register_Notice_for_12-3-15.doc
Free, confidential 24-hour statewide hotline for victims and
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and to register to receive phone and email notification when the offender’s custody status
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Email: 1800children@kcsl.org
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https://www.dcf.ks.gov/services/CSS/Documents/DV Resources List.docx
How DCF will support My Plan: Completed by
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I have been part of the decision making and understand that the above agreement requires my participation
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Client Email
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Career Navigator Email
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-9_GOALS-Self-SufficiencyAgreement04-20.docxView duplicates
I. Applicant Information I/We are applying to become an adoptive resource for a
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Applicant 1: Email: Phone: Applicant 2: Email: Phone: Street Address: City, State and Zip
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5316.doc
Department for Children and Families REV 07/2021
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Phone Number and Email for APS Specialist
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We received the attached APS report that a criminal act has occurred or
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Officer Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10120_A.docx