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
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
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
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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THIS Business Associate Agreement (the "Agreement") is made and entered into effective January 24, 2025 by and between the Secretary of the
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https://www.dcf.ks.gov/Agency/Operations/Documents/Business_Associate_Agreement-Template.docx
RELINQUISHMENT OF MINOR CHILD TO AGENCY
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NOTICE TO PARENT: This is an important legal document and by signing it you are permanently giving up all custody and other parental rights to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5J.docx
Department for Children and Families REV. Jan 2025
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This plan shall be collaboratively created by the youth or young adult, the case management team, and
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059A.docxView duplicates
OR DCF/Prevention and Protection Services
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Return to: Prevention and Protection Services
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Note: This form is to be used by adult (18+) adoptees, whom adoption finalized
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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
Waiver and Privacy Agreement
Send an email to DCF.FPTopeka@ks.gov – with the Date of
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completed DCF Required paperwork to the email – (Waiver / FP-1020)
Return to Office of
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https://www.dcf.ks.gov/Agency/Operations/Pages/Fingerprint--Srvices.aspx
State of Kansas
Department for Children and Families
Prevention and Protection Services
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The adoption assistance case shall be reviewed on
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Parent 1 Email address
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Parent 2 Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6135.docx
Names of Children in the family
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Please print to indicate your attendance
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Address, email and phone numbers are optional
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This information is used to include you in any future meetings
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0M.doc