Individuals Determined to Have Achieved an Employment Outcome
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The provision of services under the individual's IPE has contributed to the achievement of the employment outcome
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_5-1.docx
Section 7 Pre-Employment Transition Services (Pre-ETS
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Protection, use, and release of personal
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or Manager receives a call or email regarding a concern from the Client Assistance Program
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_7-14.docx
If you are a mandated reporter and have the
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Contact Information:
Reporter telephone number and Email Address (You will receive an Email confirmation message that you can print and
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https://www.dcf.ks.gov/services/PPS/Pages/OnlineReportingInformation.aspx
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
and fees are to be sent to the address or email listed above (see below for specifics
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*Release of Information forms may be submitted via email to
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https://www.dcf.ks.gov/services/PPS/Documents/OBI_1011_CAN_ROI.pdf
DCF REGION: SERVICE COUNTY: PROVIDER: REQUESTOR Name (f, mi., l): SSN: Address
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PPS STAFF NAME: DATE: PHONE: EMAIL: PPS SUPERVISOR AUTHORIZATION: Supervisor or
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4007.doc
Mailing Address (Street, City, State, Zip Code
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Email
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I/We agree to make monthly payments of $ __per month for consecutive months to complete repayment of the debt
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6180.doc
SOUL Family Legal Permanency shall use this form to send updates to the DCF Regional office at the time changes occur
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Note the following changes and return to the designated office
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6320.doc
form to DCF youth programs via email, mail, fax (785-296-4685), or in-person delivery
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not have access to a printer, please email DCF.AdminIL@ks.gov and a copy will be mailed with
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https://www.dcf.ks.gov/Newsroom/Pages/Kansas-DCF-Extends-Deadline-for-Pandemic-Relief-Program.aspx
if multiple student names appear on an e-mail message to be filed in the service record
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of contact would be phone call to the student, email to the student (if appropriate), and/or
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_7-8.docx