Address: Reason: Family new phone/email New Phone/email: Child-only new phone/email New Phone/email: Other Contact Information Change Child's Eligibility
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9121.doc
Introduction and Purpose of the RFI 7
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Exempt From Disclosure (Protected, Confidential, or Proprietary) 10
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Appendix 1: Mainframe Legacy Business Applications 11
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The goal of this project is
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https://www.dcf.ks.gov/Agency/Operations/Documents/DCF KAECSES_CSE RePlatform RFI.docx
Your Current Name Your Telephone Your Street Address Your City/State/Zip
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your identifying information (name, address, email address and/or telephone numbers), do not
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0340.doc
Your Current Name: Your Telephone: Your Street Address: Your City/State/Zip: Your
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your identifying information (name, address, email address and/or telephone numbers), do not
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0330.doc
Department for Children and Families IS-4315
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Email: Gender
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TANF $ per month Medical SSI
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Child Care Plan in Place SSDI $ per month
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CN Email
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https://content.dcf.ks.gov/EES/KEESM/Forms/IS-4315EmploymentServicesReferraltoVocationalRehabilitation08-21.docxView duplicates
☐ Attach and email all forms to the grantee/provider, regional Family First mailbox and your
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Use the email subject line: FF_county abbreviation_Lastname_Firstname_4310_Closure
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS4310.docx
Pre-ETS Email and Phone Number
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Student’s email
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Parent/Guardian’s email
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Student’s accommodations/auxiliary aid needs or food allergies if applicable
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If you do not accept the referral the
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/EmpowerME_referral2.docx
State of Kansas Independent Living PPS 7300
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Department for Children and Families Case Determination REV. Oct. 2019
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Prevention and Protection Services Page 1 of 1
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Email Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7300.docx
All items are attached to an email and sent to corresponding regional email, including “County.SOUL FAMILY SUBSIDY.Youth
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Follow instructions prompted within email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6300.docx
Referral from Pre-ETS to Kansas Workforce Centers
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Pre-ETS Email and Phone Number
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Method Key Staffing is paying the student
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Student’s email
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Parent/Guardian’s email
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Put a checkmark in the box
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/WBLreferral_workforce4.docxView duplicates