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
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.docx
Return to: Prevention and Protection Services
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Note: This form is to be used for contact with adult (18+) adoptees, whom adoption finalized in Kansas
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Your Email
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You must be named in the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0335.docx
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
DCF Grant Request for Proposal (RFP
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Foster Care Secondary Education Advocacy and Credit Tracking Program
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DCF Pre-Award Manager via e-mail at dcf.grants@ks.gov
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https://www.dcf.ks.gov/Agency/Operations/Documents/FC Secondary Education Advocacy and Credit Tracking Program RFP FY25.doc
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
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.docx
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