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Prevention and Protection Services

PPM Section 4000 Preservation Services Forms

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Listing of key staff
Form Number Form Date Form Name Form Instructions Other Languages
PPS 4005 04/2026
 Family Services Case Status doc  pdf doc  pdf  
​​PPS 4010
 ​04/2026
 ​In-Home Family Services Supervisor Consultation Log ​doc  pdf ​ ​
​PPS 4200 ​04/2026
 ​Family Preservation Referral doc  pdf​​ ​doc  pdf ​
​PPS 4205 ​04/2026
 ​Family Preservation Services Acknowledgement of Referral/Change/Closure ​doc  pdf​ ​doc  pdf ​
​PPS 4206 ​04/2026
 ​Family Preservation Services  Client Satisfaction Survey ​doc​  pdf ​ ​
​PPS 4225 ​04/2026
 ​Family Preservation Supervision Log ​doc  pdf ​ ​
​PPS 4250 ​04/2026
 ​Family Preservation Services Lack of Contact Notification ​doc  pdf​ ​ ​
​PPS 4255 ​04/2026
 ​Family Preservation Services Case Transfer ​doc  pdf ​ ​
PPS 4260 ​04/2026
 ​Family Preservation Services Request for Retraction of a Referral ​doc  pdf ​​ ​
​PPS 4311    ​07/2025 ​Family First Prevention Plan and Services Referral Status Form ​doc  pdf​ ​pdf​ ​
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Kansas Department for Children and Families

Customer Service

1-833-765-2003
TTY:  1-785-296-1491

Benefits Assistance

1-888-369-4777

Report Child or Adult Abuse or Neglect

1-800-922-5330

Child Support Service Center

1-888-757-2445

Family Mobile Crisis Helpline

1-833-441-2240

Contact Us

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