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
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
The Department for Children and Families (DCF) has received a report of abuse or neglect of a child which is being reported to your agency in accordance with K.S.A.
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Email Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1003.docx
Click here to open email to: mailto:SafeCareKS@cmh.edu Once email opens, attach saved form
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The Integrated Referral and Intake System
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PPS SPECIALIST’S EMAIL ADDRESS
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PPS SUPERVISOR’S EMAIL
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2450 .docx
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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Student’s accommodations/auxiliary aid needs if required
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/WBL Referral.docxView duplicates
Department for Children and Families REV. July 2022
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Do you have a safe place to
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for keeping a schedule, setting up an e-mail, and communicating in a professional manner
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059.docx
Email
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B. Type of Agency ☐Public ☐Private Non-Profit ☐Private Profit
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C. Official Authorized to Sign Application
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F. Type of Application ☐New ☐Revision ☐Continuation of Grant
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https://www.dcf.ks.gov/services/RS/Documents/OIB_AttachmentA.docxView duplicates
Street Address: City, State, Zip Email: SOUL Family Legal Permanency Custodian Name: DOB: Street Address: City, State, Zip Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6315.doc
Adoption Child Profile and Website Registration Match Form
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Check One) Initial Referral Profile Update, CH
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Phone: Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5310.docx
who wish to submit comments in writing may do so using the following email addresses
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or other accommodations, please email Barbara.Mah@dcf.ks.gov or call 785-368-7112 or TDD
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https://www.dcf.ks.gov/services/RS/Documents/Register_Notice_for_12-3-15.doc