Case Managers: Use this form to request a reimbursement for
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Foster Caregiver’s e-mail
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The CCEP program will e-mail the foster caregiver a W-9 and DA-130 form to get them set up
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5258D.docxView duplicates
Department for Children and Families 07/2023
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Prevention and Protection Services Page 1 of 2
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Section I: The Representative Gail Finney Memorial Foster Care Bill of Rights Part of and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5138.docx
If this child’s move affects another sibling
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ID# (if known) Add Remove Effective Date E-mail to
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Also e-mail to local Child Support Enforcement staff
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120.doc
DCF completes this form to request a check from a child’s WARDS account
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submitting the form to WARDS Accountant E-mail: Enter the DCF WARDS worker’s e-mail address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5929_Instr.doc
The PPS 3059 serves as the formal transition plan document required by Federal and State policy, in accordance with the Family First Prevention Services Act of 2018
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It is to be used as
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059_Instr.doc
Attention - Food Assistance Scam Alert
5/22/2023
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to access personal information including name, email, and phone number by claiming to give
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You can replace your card by
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https://www.dcf.ks.gov/Newsroom/Pages/FAScamAlert.aspx
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
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
this client (codes at end of inst) e-mail: enter case worker’s DCF e-mail address Program: select: (Program code for
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2833_instr.doc
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