Name of person completing this form
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E-mail address
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Please mark the box for the action to be taken on the family
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(If changes to composition (i.e. marriage, divorce, birth of a child, ect
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5325.doc
Department for Children and Families Prevention and Protection Services
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Provider’s Name: E-mail: Month: Address where care occurs: Year: List all
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5828E.docx
C. Opening Screen Menu Options 7
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HOW TO –REGIONAL OFFICE TASKS 18
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V. HOW TO – DCF Administration TASKS 31
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Appendix B – Reconciliation Confirmation Report 51
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This manual is intended to be a
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_EP_D.doc
DOB APPROVAL STAMP (If Required) Revised 05/03/2022
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Kansas Department for Children and Families Beth Lange or Leslie Rannebeck 785-296-3967
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Agency Agency Contact Contact Phone Number
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https://www.dcf.ks.gov/Newsroom/Documents/Economic Impact Statement_FHL_1-4-24.pdf
Name of person completing this form
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E-mail address
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Child’s Name: MATCH ID: Facts Client ID
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Is this child a member of a sibling group
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Move child to the private site (child will not
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5315.doc
Attention - Food Assistance Scam Alert
5/22/2023
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to access personal information including name, email, and phone number by claiming to give
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You can replace your card by
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https://www.dcf.ks.gov/Newsroom/Pages/FAScamAlert.aspx
The Child Care Exception Payment (CCEP) Program is a supplement to Foster Care Child Care (FCCC) funding
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FCCC funding must be used first where applicable
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E-mail of Childcare Provider
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/5258B.docxView duplicates
When DCF is no longer the Representative Payee of a foster child’s benefit, the worker shall
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Accountant at bottom of Worksheet and e-mail Worksheet(s) with attachments (if applicable
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5927B_Instr.docx
Instructions: The Site Visit Tool is to be completed at in-person site visits for initial reviews, 90-day reviews and annual reviews
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This site visit tool will score the policy and
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400F.doc
Child Care Providers: The Child Care Exception Payment (CCEP) Program is a supplement to Foster Care Child Care (FCCC) funding
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You must initial each box on
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E-mail of Childcare Provider
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https://www.dcf.ks.gov/services/PPS/Documents/FY2023DataReports/Public Website Documents/5258b_CCEPP CCProvAgreement.docx