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
Each regional office has a person(s) assigned to create and maintain provider agreements
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This person is referred to as the Provider Agreement Specialist (PAS
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/Provider Agreement - Regional Contacts.docxView duplicates
Department for Children and Families REV. Jan-25
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KIPS Investigation ID: Click or tap here to
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Email: dataadmin@ksgprog.org & cc KGP Regional Liaison
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Email: Click or tap here to enter text
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10600A.docx
Department for Children and Families REV. Jan. 25
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Return to: DCF/Prevention and Protection Services
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Note: This form is to be used by adults (18+) who were
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0332.docx
Return to: Prevention and Protection Services
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I hereby give my permission to the Kansas Department for Children and Families to release the information I have provided
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Your email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0350.docx
Return to: DCF/Prevention and Protection Services
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Adult Adoptee Requesting Copy of Adoption Record
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Note: This form is to be used by adult (18+) adoptees, whom adoption finalized in
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0330.docx
For requests via email the average response time for requests to be processed is 3 to 5
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please contact Adult Protective Services:
785-296-6620 or email DCF.APSExpungements@ks.gov
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https://www.dcf.ks.gov/services/PPS/Pages/APS/RelatedAPSInfo.aspx
form: OBI10400
Return the form via email to: DCF.APSRegistry@ks.gov or you may return
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For requests via email the average response time for requests to be processed is 3 to 5
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https://www.dcf.ks.gov/Agency/Operations/Pages/Adult-Abuse-Registry.aspx
What is the Child Care Provider Handbook? 5
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SECTION II: General Information for All DCF Child Care Providers 6
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Violations of the Provider Agreement 9
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Sample Consent for Medical Care Form
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https://content.dcf.ks.gov/ees/KEESM/Robo02-25/NewForms02-25/C10.docx
Home > Services > Prevention and Protection Services
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Gypsy Hanks,
Child Protection Services Program Administrator
620-577-7366
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Name Business Phone Email Counties Served
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https://www.dcf.ks.gov/services/PPS/Pages/SoutheastRegionContacts.aspx