Quality Residential Treatment Program (QRTP) Site Visit Tool
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Instructions: The Site Visit Tool is to be completed at in-person site visits for initial reviews, 90-day reviews and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400H.doc
Non-KORA Agency Records Request Form * REQUESTOR INFORMATION
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Requestor Work Email
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Please provide the following information on the person whose Kansas DCF case history is being
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https://www.dcf.ks.gov/Records/Documents/Non-KORA-Agency-RecordsRequestForm.pdf
be sent to the mailing address or email listed above with appropriate payment (see Payment
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Return Results by: Encrypted email (list if different than above): Postal Mail
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/OBI_1011_CAN_ROI.pdf
by fax at 844-682-2171, or by email to dcf.csscustomer@ks.gov. Please include the employee's
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Employee/obligor is no longer employed or was never employed:
Complete the NOTIFICATION OF
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https://www.dcf.ks.gov/services/CSS/Pages/Changes-in-Employment-Status.aspx
Support Services (CSS) automatically serves families receiving Temporary Assistance for Needy Families
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Email: DCF.CSSCustomer@ks.gov
You may call the Child Support Call Center at
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https://www.dcf.ks.gov/services/CSS/Pages/Enrolling-for-Child-Support-Services.aspx
c. Issue a reply to the requesting email stating whether the request is approved or denied
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d. Send the return email response within 1 hour of the complete exception request being
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Emergency Afterhours Over Capacity Exceptions.pdf
accordance with Kansas law any person listed in the Child Abuse and Neglect Registry is
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Email preferred: DCF.CentralRegistry@ks.gov
Fax accepted: 785.296.1729 (Attn: Child Abuse
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https://www.dcf.ks.gov/Agency/Operations/Pages/Child-Abuse-Registry.aspxView duplicates
no later than March 1, 2010 by mail or email to the following address:
Office of the
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66612
Phone: 785-296-3271
Email: Carol.Sprague@srs.ks.gov
Applications received after
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https://www.dcf.ks.gov/Agency/Testimony/Pages/Advisory.aspx
A. Case Information (to locate case) B. Who is the
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Social Security Number Phone Email Street Address
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Printed Name of FC CMP/CPA Representative Representative Contact Email
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https://www.dcf.ks.gov/services/PPS/Documents/FC-CC Change Form.pdfView duplicates
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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Mailing Address: PO BOX 1424 Topeka, KS 66601 Physical
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Website: http://www.dcf.ks.gov Email: DCF.FCL002@ks.gov AUTHORIZATON FOR
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 002 Individual Background Check.pdf