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
DCF Grant Request for Proposal (RFP
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Centers for Independent Living: Covering Kansas Counties with Core Services
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DCF Grant Manager via e-mail at dcf.grants@ks.gov
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https://www.dcf.ks.gov/Agency/Operations/Documents/Old RFP's and RFP Amendments/Centers for Independent Living RFP.docView duplicates
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
Approved for 4 hours of the
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Contact: Crystal Fox Email: crystal.fox@fosteradopt.org Phone: 913-717-0211 Web: https://www.childally.org/kinship Email: learn@childally.org Phone: (785
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https://www.dcf.ks.gov/services/PPS/Documents/KinshipResources.pdf
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
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
State Zip: Date Sent to Custodian: Email address: The custodianship subsidy is to be
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Please answer the following questions and return to the designated office within thirty (30
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6165.doc
Part 2 Service and Payment Authorizations
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Rehabilitation Services (RS) must employ methods of
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1. Staff need to call/email to speak with the provider/vendor to let them know and ensure
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_6-2.docx
Director (name, title, address, telephone, e-mail). Section E: Financial Officer (name, title, address, telephone, e-mail). Section F: Type of application - choose
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https://www.dcf.ks.gov/services/RS/Documents/Mentoring RFP/REVISED_DATES_ RFP_Mentoring_Youth_with_Disabilities_10-6-11_PS.docx