Income of the child (include all income and the source
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Note: Reference Sections 6112C and 6113 in the PPS PPM
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Please attach statement from family as to why they wish to pursue
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6150.doc
How DCF will support My Plan: Completed by
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I have been part of the decision making and understand that the above agreement requires my participation
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Client Email
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Career Navigator Email
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-9_GOALS-Self-SufficiencyAgreement04-20.docxView duplicates
How DCF will support My Plan: Completed by
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I have been part of the decision making and understand that the above agreement requires my participation
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Client Email
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Career Navigator Email
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-8 TANF Self-Sufficiency Agreement 03-2019_.docxView duplicates
form is to be sent via encrypted email to DCF.SBDT@ks.gov with the client’s home region as
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https://content.dcf.ks.gov/ees/KEESM/Forms/ES-4412_Client_Turn_Around_Form.docView duplicates
Department for Children and Families REV 06/2022
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Email for APS Specialist
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We received the attached APS report that a criminal act has occurred or appeared to have
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Officer Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10120_A .docx
Email
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Regulatory Compliance and Quality Assurance Administrator, Racheal Sain
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Supervises Regional Supervisors and Training Specialist
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/Licensing Staff Contact List.docx
For questions that do not apply
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Home Phone Work / Office # Cellular / Other # Email Address
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with my advisor and promptly report any changes in my address, phone number or email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_7B.doc
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
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
I hereby give my permission to the Kansas Department for Children and Families to release
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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/PPS0350.doc