You are receiving this notice because there has been an
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Street Address: City: State: Zip Code: Date Sent: Email address
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Cc: Email copy to DCF Central Collections Unit
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6145.doc
Is there anything from the last visit that’s still a problem
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Is there anything about which I want my worker to know and/or help
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□ I have my workers phone and email information
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3061.doc
Prevention and Protection Services KIPS Investigation ID
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Worker Name Telephone 785-587-8555 Email Address Email Telephone Number Telephone Numbers I
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Sec. No: SSN Birth Date: DOB
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10600A.doc
Address: Reason: Family new phone/email New Phone/email: Child-only new phone/email New Phone/email: Other Contact Information Change Child's Eligibility
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9121.doc
Strong Families Make a Strong Kansas
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I. Funding Opportunity/ Program Background 4
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Deadline(s) Pre-Bid Conference and Proposal 7
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What a Proposal Should Include 7
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Taken into custody by a law
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https://www.dcf.ks.gov/services/PPS/Documents/Grant_Information/RFP-HTPlacement.doc
Department for Children and Families IS-4315
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Email: Gender
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TANF $ per month Medical SSI
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Child Care Plan in Place SSDI $ per month
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CN Email
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https://content.dcf.ks.gov/EES/KEESM/Forms/IS-4315EmploymentServicesReferraltoVocationalRehabilitation08-21.docxView duplicates
Your Current Name: Your Telephone: Your Street Address: Your City/State/Zip: Your
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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/PPS0330.doc
Your Current Name Your Telephone Your Street Address Your City/State/Zip
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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/PPS0340.doc
Action Plan – Service Provider develops and documents method of delivering requested service
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Notification - A communication (e.g., EDI, email, fax, mobile device, publication, telephone
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https://www.dcf.ks.gov/Agency/Operations/Documents/Appendix D - Abbreviation and Terminology.doc
Pre-ETS Email and Phone Number
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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 or food allergies if applicable
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If you do not accept the referral the
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/EmpowerME_referral2.docx