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Prevention and Protection Services

PPM Section 4000 Preservation Services Forms

Listing of key staff
Form Number Form Date Form Name Form Instructions Other Languages
PPS 4005 09/2022 Family Services Case Status doc  pdf doc  pdf  
PPS 4007​ ​01/2015 Flex Fund Request Form​ ​doc  pdf ​ ​
​PPS 4010 ​04/2018 ​In-Home Family Services Supervisor Consultation Log ​doc  pdf ​ ​
​PPS 4200 ​01/2025 ​Family Preservation Referral doc  pdf​​ ​doc  pdf ​
​PPS 4205 ​07/2024 ​Family Preservation Services Acknowledgement of Referral/Change/Closure ​doc  pdf​ ​doc  pdf ​
​PPS 4206 ​01/2020 ​Family Preservation Services  Client Satisfaction Survey ​doc  pdf ​ ​
​PPS 4225 ​01/2020 ​Family Preservation Supervision Log ​doc  pdf ​ ​
​PPS 4250 ​01/2025 ​Family Preservation Services Lack of Contact Notification ​doc  pdf​ ​ ​
​PPS 4255 ​01/2020 ​Family Preservation Services Case Transfer ​doc  pdf ​ ​
PPS 4260 ​01/2020 ​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

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1-833-765-2003
TTY:  1-785-296-1491

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1-888-369-4777

Report Child or Adult Abuse or Neglect

1-800-922-5330

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1-888-757-2445

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1-833-441-2240

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