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
Encrypted CD, encrypted flash drives, encrypted email (email address), fax (fax Number) or mail
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If you have any questions or concerns, you may contact me at (phone number/email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10209.docx
SECTION I: Identifying Information – Completed by CPS/FC Liaison/IL Coordinator
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Date of Intake Assignment: Click or tap to enter a date
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Family First Regional Email (check one below
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311.docxView duplicates
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
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
402 State Avenue
Kansas City, KS 66101
Phone: 913-279-7227
Email: Kelly.Milner@ks.gov
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901 Westchester Dr.
Salina, KS 67401
Phone: 785-515-6633
Email: Heather.Koffman@ks.gov
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https://www.dcf.ks.gov/services/RS/Pages/RS_Program_Administrators.aspx
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
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
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
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