Last Name First Middle Date of Birth / / Maiden name or other names known by Social Security Number
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(PLACE YOUR INITIALS TO THE LEFT OF EACH ITEM APPROVED
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0100.doc
Purpose: In compliance with the Association of Administrators of the Interstate Compact on the Placement of Children (AAICPC), the assigned Case Manager must discuss with the
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9100.doc
DEPARTMENT FOR CHILDREN AND FAMILIES ECONOMIC & EMPLOYMENT SERVICES
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Home Phone: Message Phone: Email
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Microsoft TEAMS – Please provide a valid email address for the invitation
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-6 Self Assessment05-21.docxView duplicates
Request for Information (RFI) Overview 6
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Appendix A – House Substitute, Senate Bill 179 9
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Appendix B – K.S.A. 65-535 Staff Secure Facility Requirements 9
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DCF is comprised of Economic and
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https://www.dcf.ks.gov/Agency/Operations/Documents/RFI for Juvenile Crisis Intervention Centers.docx
Street Address: City, State, Zip Email: SOUL Family Legal Permanency Custodian Name: DOB: Street Address: City, State, Zip Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6315.doc
Youth Mentoring, Leadership and Development Program for Youth with Disabilities
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Kansas Department for Children and Families
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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/ARReports/Kansas Youth Mentoring Grant Request for Proposal (RFP).doc
County: Region: Address: Phone: Email address: Monitoring/Liaison worker
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Manager Name: Address: Phone Number: E-Mail Address: Finalization Date(s) of
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.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
through an approval/agreement statement by email, the email must be clear and specific about what
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and not subject to the requirements applicable to verbal or virtual/email signatures
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_1-13.docx
Options for Submitting a State Plan
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How State Plan Requirements Are Organized
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I. WIOA State Plan Type and Executive Summary
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b. Plan Introduction or Executive Summary
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https://www.dcf.ks.gov/services/RS/Documents/WIOA_Published-2022-10-07_7-24-29_am-Kansas_PYs_2022-2023_(Mod).docx