How DCF will support My Plan: Completed by
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I have been part of the decision making and understand that the above agreement requires my participation
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Client Email
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Career Navigator Email
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-9_GOALS-Self-SufficiencyAgreement04-20.docxView duplicates
I. Applicant Information I/We are applying to become an adoptive resource for a
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Applicant 1: Email: Phone: Applicant 2: Email: Phone: Street Address: City, State and Zip
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5316.doc
Introduction and purpose of the RFI 4
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How to deliver the answer 6
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Marking Records Exempt From Disclosure (Protected, Confidential, or Proprietary) 7
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There is a need for evaluation of
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https://www.dcf.ks.gov/Agency/Operations/Documents/FFPSA Prevention Grant Evaluation RFI.doc
How DCF will support My Plan: Completed by
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I have been part of the decision making and understand that the above agreement requires my participation
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Client Email
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Career Navigator Email
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https://content.dcf.ks.gov/EES/KEESM/Appendix/E-8 TANF Self-Sufficiency Agreement 03-2019_.docxView duplicates
form is to be sent via encrypted email to DCF.SBDT@ks.gov with the client’s home region as
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https://content.dcf.ks.gov/ees/KEESM/Forms/ES-4412_Client_Turn_Around_Form.docView duplicates
Department for Children and Families REV 06/2022
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Email for APS Specialist
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We received the attached APS report that a criminal act has occurred or appeared to have
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Officer Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10120_A .docx
Section I: Student Eligibility (To Be Completed By Youth
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Email Address
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Registrar’s Office: Please email this form to the Kansas DCF Administration Office at
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(EMAIL ONLY
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7260.docx
For questions that do not apply
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Home Phone Work / Office # Cellular / Other # Email Address
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with my advisor and promptly report any changes in my address, phone number or email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_7B.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
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