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
Has this family had a previous TDM
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The TDM Scheduler will invite professionals if email address is available
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Phone number/email address
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For scheduling, email the completed form to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0E.docx
Email Address
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SECTION IV: Other Individuals able to provide information on child’s functioning (IE: Foster Parents, School
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Once this form is complete please email to: QRTP@healthsrc.org
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5115.docx
DCF Grant Request for Proposal (RFP
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DCF – Prevention and Protection Services (PPS
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Kansas Department for Children and Families
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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/WKD GRANT RFP.doc
DCF Grant Request for Proposal (RFP
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Supplemental Nutrition Assistance Program (SNAP) Food Assistance Outreach
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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/SNAP Outreach Grant Request for Proposal.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
All items are attached to an email and sent to corresponding regional email, including “County.SOUL FAMILY SUBSIDY.Youth
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Follow instructions prompted within email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6300.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
Department for Children and Families Prevention and Protection Services
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Initial Team Decision MakingTM (TDM) Protocol
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I. Definition and Purpose of TDM
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A. Preparing to Lead the Discussion
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0D.docx
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