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
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
at least the report source, your name, state, email, relationship to the victim, and a phone
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Reporter’s email address is important to ensure that we can properly address the concern in
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https://www.dcf.ks.gov/services/PPS/Documents/Quick_Guide_to_Online_Reporting.pdf
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.pdf
Strong Families Make A Strong Kansas CSS Incentives to Reduce State Owed Arrears
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Nurturing Parenting (Smart Start NW Kansas), Denise Singer (785) 465-9103/email
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www.fathers.com/ email
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https://www.dcf.ks.gov/services/CSS/Documents/Incentives for state arrears community 3.2.16.pdf
Home > Services > Prevention and Protection Services
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Welfare Record Request: Out of State
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Email preferred: DCF.CentralRegistry@ks.gov
Fax accepted: 785.296.8609
Mail: Check/money
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https://www.dcf.ks.gov/services/PPS/Pages/Adam-Walsh-Legislation.aspx
The following content was developed by a team of Trainers and Legal Advisors
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: • e-mail • fax • information on the computer • voice • paper The HIPAA Privacy Rule says
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https://www.dcf.ks.gov/Agency/Documents/HIPAA-Training.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
Address Apt. # City State Zip Code Telephone E-mail County B. Do you appoint someone other
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Telephone Address Apt. # City State Zip E-mail State of Kansas Social and Rehabilitation
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https://www.dcf.ks.gov/Documents/Food/ES-3100.8_Application_Redetermination_01-06.pdf
strong families make a strong Kansas Kansas Department for Children and Families 2013 Annual Report The Kansas Department for Children and Families (DCF) is focused on protecting
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https://www.dcf.ks.gov/Agency/Documents/2013DCFAnnualReport.pdf