with a 10 day time limit
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Phone Call/text/e-mail to reschedule appointment or assignment: check the box if the CN attempted to call/text/e-mail the client and the date of the attempt
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-5PenaltyChecklistForCN03-19.docxView duplicates
Send a scan of the form to the EBT Unit as an attachment to an e-mail to DCF.EBTMAIL@ks.gov
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portions of the form are completed, email the completed form to the Administrative Office
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3142EBT_Ben_Repay05-22.docView duplicates
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
p.10: The department has provided both mailing address and email for RFI Coordinator
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Is there a limit on the file size for the email submission of the RFI Response
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No, it is not part of
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https://www.dcf.ks.gov/Agency/Operations/Documents/Re-Platform RFI Questions and Answers.docx
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
Email Address
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SECTION IV: Other Individuals able to provide information on child’s functioning (IE: Foster Parents, School
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Once this form is complete please email to: QRTP@healthsrc.org
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5115.docx
Body of the email should say: “Please see attached documents concerning the successful
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Send to AG’s office using email address (ANE@AG.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10250_Instr.docx
DCF Grant Request for Proposal (RFP
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DCF Grant Manager via email at dcf.grants@dcf.ks.gov
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non-compliance shall be reported within 48 hours of occurrence via email correspondence
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https://www.dcf.ks.gov/Agency/Operations/Documents/RFP for In-Home Technology.docView duplicates
Provider: Assigned Provider Staff: Phone: Email: Date Aftercare started: Agreement in
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Frequency and method of contacts between case manager and child/family
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3070.doc
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