SECTION I: Information about current court case
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Court reports to include information relevant to the current court case only
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Reports to be provided to the courts in advance of the
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3004.docx
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
State of Kansas
Department for Children and Families Prevention and Protection Services
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Preferred Name to be addressed by
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Contact Information (name/email/phone/address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3006.docx
Consumer’s work skills, conditions, preferences and interest
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(Recommend other pertinent consumer information be shared with the provider to assist
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Provider Contact Name: Phone: Email
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Contracts/Section 11 Part-24_Service_referral_form.doc
Prevention and Protection Services PPS 10350
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REV 07/2021 Notification to Law Enforcement
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Please type or print Involved Adult: Name Date Received by
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Adult Protective Specialist Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10350.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
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
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
These requirements are not included, and do not appear to be available on the DCF website
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A: The rate is based on
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A: DCF will e-mail and post the answers to questions on August 12, 2013
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https://www.dcf.ks.gov/services/PPS/Documents/Grant_Information/RFP-HTPlacementQA.doc