Economic and Employment Services IS-4315 Rev. 04-16
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Describe the basis of the consumer’s incapacity/disability and attach copies of any available medical, psychological or psychiatric
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https://content.dcf.ks.gov/EES/KEESM/Forms/Referral to Rehabilitation Services.docxView duplicates
TO: Include: Name, Agency, Mailing Address, Telephone Number, Fax Number and E-mail Address
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if known) City: State: Zip: - Telephone: - - (ext) E-mail: (If not the same as in
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9110.doc
DCF Grant Request for Proposal (RFP
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Centers for Independent Living: Covering Kansas Counties with Core Services
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DCF Grant Manager via e-mail at dcf.grants@ks.gov
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https://www.dcf.ks.gov/Agency/Operations/Documents/Old RFP's and RFP Amendments/Centers for Independent Living RFP.doc
Prevention and Protection Services- Adult Protective Services
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Service Center: Email Address: Phone
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If you are not the intended
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10370.doc
Youth Mentoring, Leadership and Development Program for Youth with Disabilities
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Kansas Department for Children and Families
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DCF Grant Manager via e-mail at dcf.grants@ks.gov
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https://www.dcf.ks.gov/Agency/Operations/ARReports/Kansas Youth Mentoring Grant Request for Proposal (RFP).doc
02-17 INSTRUCTIONS: Complete this form and email to DCF.EBTMAIL@ks.gov within 20 days of
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Retain original in the case file
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TYPE OF ACTIVITY (CHECK ONE) ADD CHANGE DELETE 1. NAME
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-524_FS_Disqualification02-17.docView duplicates
STATE OF KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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*Type Contact: HI (Home Interview); OI (Office Interview); SI (School
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1010.doc
Client is being referred to the Workforce Center to register for a KANSASWORKS Plus account and to enroll in Career Ready 101
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Client is scheduled to visit the Workforce Center by
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EMAIL
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-4418_CR101_Referral_Turn_Around_Form_01-21.docView duplicates
Food Assistance Replacement During Household Disasters
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Email: EBTMAIL (DCF.EBTMAIL@ks.gov
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When food purchased with food assistance benefits is destroyed in a disaster (definition below
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3143_fs_disaster_form_08-21.docxView duplicates
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