| Form Number |
Form Date |
Form Name |
Form |
Instructions |
Other Languages |
|---|
|
|
|
|
|
|
| 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 |
04/2026
|
Your Rights During an Adult Protective Services Assessment for Self-neglect |
doc pdf |
|
spapdf
|
| PPS 10208 |
04/2026
|
Your Rights during an APS Investigation Brochure |
doc
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 |
doc pdf |
|
|
| 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 |
|
spadoc spapdf |
| PPS 10320B |
04/2026 |
Notice of APS Case Closure - Non Self Neglect Cases |
doc pdf |
|
|
| PPS 10322A |
04/2026
|
APS Confirmation Finding for Crisis Excpetion 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 10400 |
04/2026
|
Adult Abuse, Neglect, Exploitation, Fiduciary Abuse Central Registry |
doc pdf |
|
spadoc spapdf |
| PPS 10500 |
04/2026 |
Adult Protective Service Plan |
doc pdf |
|
|
PPS 10510
|
04/2026 |
Emergency APS Admissions to Nursing Facilities |
doc pdf |
|
|
| PPS 10600A |
04/2026
|
Adult Guardianship / Conservatorship Referral/Notification |
doc pdf |
|
|
PPS 10600B
|
04/2026
|
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 |
|
|