| Form Number | Form Date | Form Name | Form | Instructions | Other Languages |
|---|
PPS 10000
| 07/2026
| Kansas Adult Protective Services
Brochure
|
doc
pdf
|
|
|
| PPS 10001 | 04/2026
| Understanding Your Role as Power of Attorney | pdf | | spapdf |
| PPS 10050 | 04/2026
| Financial Exploitation |
doc
pdf
| | |
| PPS 10100 | 04/2026
| Adult Protective Services Intake |
doc
pdf | | |
| PPS 10110 | 04/2026
| Adult Protective Service Screening Report |
doc
pdf | | |
| PPS 10120 A | 04/2026
| Potential Criminal Notification Coversheet | doc
pdf | | |
| PPS 10125 | 04/2026
| Notification to KDADS |
doc
pdf | |
|
| PPS 10130 | 04/2026
| Notice of Action to Reporters for Adult Abuse Reports |
doc
pdf | | |
| PPS 10200 | 04/2026
| Adult Protective Services Case Activity Log |
doc
pdf | | |
| PPS 10204A | 04/2026
| Notice of Allegation Change | doc
pdf | | |
| PPS 10205 | 07/2026
| Your Rights During an Adult Protective Services Assessment for Self-neglect | pdf | |
spapdf
|
| PPS 10208 | 07/2026
| Your Rights during an APS Investigation Brochure | pdf | |
spapdf |
| PPS 10209 | 04/2026
| Bank Release of Records | doc pdf | | |
| PPS 10210 | 04/2026
| Authorization for Release of Confidential Information | doc
pdf | | |
| PPS 10211 | 04/2026
| Release of Records Relevant to Adult Protective Services Investigation | doc
pdf | | |
| PPS 10212 | 04/2026
| APS Critical/Significant Incident Report |
doc
pdf | | |
| PPS 10215 | 04/2026
| Non-Critical Death Notification |
doc
pdf | | |
| PPS 10224A | 01/2024 | Cornell-Penn Interview for Decisional Abilities (IDA) Kansas Edition - 3.0 | pdf | | |
| PPS 10224B | 01/2025 | Cornell-Penn Interview for Decisional Abilities (IDA) Kansas Edition - 3.0 (28 pt. font) | pdf | | |
| PPS 10224C | 01/2025 | Cornell-Penn Interview for Decisional Abilities (IDA) Kansas Shortform | pdf | | |
| PPS 10224D | 01/2025 | Cornell-Penn Interview for Decisional Abilities (IDA) Kansas Shortform (28 pt. font) |
pdf | | |
| PPS 10230 | 04/2026
| Interview Notice to Alleged Perpetrator | doc
pdf | | spadoc spapdf |
| PPS 10231 | 04/2026
| Involved Adult Interview Request Letter |
docpdf | | |
| PPS 10240 | 04/2026
| What you need to know about Investigations of Adult Abuse, Neglect, Exploitation, or Fiduciary Abuse | pdf | |
spapdf |
| PPS 10250 | 04/2026
| Corrective Action Plan |
doc
pdf | doc
pdf | |
| PPS 10300 | 04/2026
| Notice of Agency Decision |
doc
pdf | | spadoc spapdf |
| PPS 10310 | 04/2026
| Notification to Regional Adult Abuse/Neglect Registry Contact | doc
pdf | | |
| PPS 10315 | 04/2026
| Notice of Termination of Corrective Action Plan | doc
pdf | | |
| PPS 10320A | 04/2026
| Notice of APS Case Closure- For Self Neglect Cases | doc
pdf | |
spadocspapdf |
| PPS 10320B | 04/2026 | Notice of APS Case Closure - Non Self Neglect Cases |
doc
pdf | | |
| PPS 10322A | 04/2026
| APS Confirmation Finding for Crisis Excepetion Requests | doc
pdf | | |
| PPS 10330 | 04/2026
| Appeal Summary |
doc
pdf | | |
| PPS 10340 | 04/2026
| Notification to Facility Regarding APS Finding |
doc
pdf | | |
| PPS 10350 | 04/2026
| Substantiation Notification to Law Enforcement |
doc
pdf | | |
| PPS 10360 | 04/2026
| Report to State Regulatory Authority from APS Regarding Finding of Abuse, Neglect, or Exploitation | doc
pdf | | |
| PPS 10370 | 04/2026
| ANE Unit Cover Sheet | doc
pdf | | |
| PPS 10500 | 04/2026 | Adult Protective Service Plan |
doc
pdf | | |
PPS 10510
| 04/2026 | Emergency APS Admissions to Nursing Facilities | doc
pdf | | |
| PPS 10600A | 07/2026
| Adult Guardianship / Conservatorship Referral/Notification | doc
pdf
| | |
PPS 10600B
| 07/2026
| Youth Guardianship / Conservatorship Referral
| doc
pdf | | |
| PPS 10610 | 04/2026
| Decision-Making and Functional Assessment: Criteria for Legal Impairment a Multi-disciplinary Tool | doc
pdf | | |