State of Kansas PPS 5410A Instructions
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Prevention and Protection Services July 2024
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the wage information, please inform us in the email when you send the 5410A, so we can
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5410A_Instr.docx
Contact name/number(s) for family
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CPS Specialist’s Email
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☐ No ☐ Yes (If yes, list name
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Dates/Times CPS Specialist/Family Preservation Liaison is available for Initial Family Meeting
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4200.docx
Encrypted CD, encrypted flash drives, encrypted email (email address), fax (fax Number) or mail
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If you have any questions or concerns, you may contact me at (phone number/email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10209.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/2013 State Plan Update/WIOA_Published-2024-06-03_10-59-36_am-Kansas_PYs_2024-2027.docx
DEPARTMENT FOR CHILDREN AND FAMILIES 10-24
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Please email this document back to Choose an item
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request, please contact at or via e-mail at . Thank you for your assistance
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-4102_TANF_Request_for_Months_Received_in_Another_State.docx
A. Social Security Benefits: Yes No If yes, amount
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Anticipated date of youth’s high school graduation
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PPS Administration Use Only for Approval
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6301.doc
Address: City/State/Zip Phone #: Email: Vendor Name: Vendor ID: Address: City/State/Zip Phone #: Email
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Subsidy Amount and Month Authorized: Month/Year
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7210.docView duplicates
shall be sent to the DCF NYTD email and DCF Independent Living regional email, where the youth will be located or has
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059C_Instr.doc
Department for Children and Families Beth Lange 296-3967
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Agency Agency Contact Contact Phone Number
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Is/Are the proposed rule(s) and regulation(s) mandated by the federal government as
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https://www.dcf.ks.gov/services/PPS/Documents/Economic_Impact_Statement.docx
OR DCF/Prevention and Protection Services
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Adult Adoptee/Birth Sibling Requesting Search/Contact
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Return to: Prevention and Protection Services
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Note: This form is to be
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Your email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0340.docxView duplicates