SUMMARY OF RESULTS OF PRELIMINARY INQUIRY PPS 1001A
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TITLE / AGENCY CONTACTED ADDITIONAL INFORMATION: PRELIMINARY INQUIRY or ANY ADDITIONAL INFORMATION OBTAINED AFTER THE INITIAL REPORT
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1001A.doc
Action Plan – Service Provider develops and documents method of delivering requested service
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Notification - A communication (e.g., EDI, email, fax, mobile device, publication, telephone
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https://www.dcf.ks.gov/Agency/Operations/Documents/Appendix D - Abbreviation and Terminology.doc
I. Applicant Information I/We are applying to become an adoptive resource for a
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Applicant 1: Email: Phone: Applicant 2: Email: Phone: Street Address: City, State and Zip
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5316.doc
Monthly invoices reporting line-item expenses for the invoiced month will be due by the 20th day of the following month
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Grantees will submit invoices and supporting documentation in
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https://www.dcf.ks.gov/services/RS/Documents/OIB_Attachment E.doc
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
Introduction and purpose of the RFI 3
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How to deliver the answer 6
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Marking Records Exempt From Disclosure (Protected, Confidential, or Proprietary) 7
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There is a need for partnerships
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https://www.dcf.ks.gov/Agency/Operations/Documents/Old RFP's and RFP Amendments/Families First Prevention Request for Information.doc
Agency mailing address Agency email address Check box if agency is a
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(Please allow 3-5 days for processing email requests and an additional 5-7 days if returning
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10400.doc
Staff should follow the Kansas Department for Children and Families (DCF) Regional Office
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Email Administration Office a brief note with the reason for refund, Service Authorization
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_6-7.docx
Disability Determination Referral to Kansas Legal Services Child age birth to 17 years Child/Youth – age 18 to 23 years Child’s Name: DCF Case Number: SSN Street Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5U.doc
Section I: Student Eligibility (To Be Completed By Youth
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Email Address
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Registrar’s Office: Please email this form to the Kansas DCF Administration Office at
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(EMAIL ONLY
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7260.docx