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
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
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
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
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
DCF Grant Request for Proposal (RFP
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Kansas Department for Children and Families
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What an Application Should Include 10
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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/RFP ES Provider FY25.doc
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
The adoption assistance case shall be reviewed on an annual basis
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This review serves as a tool
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City: State: Zip Code: Date Sent: Parent 1 Email address: Parent 2 Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6135.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