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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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
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
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
Free, confidential 24-hour statewide hotline for victims and
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and to register to receive phone and email notification when the offender’s custody status
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Email: 1800children@kcsl.org
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https://www.dcf.ks.gov/services/CSS/Documents/DV Resources List.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
A. Social Security Benefits: Yes No If yes, amount
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Anticipated date of youth’s high school graduation
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PPS Administration Use Only for Approval
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6301.doc
Request for Information (RFI) Overview 6
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Appendix A – House Substitute, Senate Bill 179 9
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Appendix B – K.S.A. 65-535 Staff Secure Facility Requirements 9
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DCF is comprised of Economic and
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https://www.dcf.ks.gov/Agency/Operations/Documents/RFI for Juvenile Crisis Intervention Centers.docx