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  • Authorization To Release Information Form - Kansas ... - Dcf Ks

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Return to: Prevention and Protection Services Docking State Office Bldg., 5th Floor 915 SW Harrison Street Topeka, KS 66612 (785) 296-4653 PPS 0350 Rev. 10/12 Page 1 of 1 AUTHORIZATION TO RELEASE.

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How to use or fill out the AUTHORIZATION TO RELEASE INFORMATION FORM - Kansas ... - Dcf Ks online

The Authorization to Release Information Form is a vital document for users seeking to authorize the Kansas Department for Children and Families to disclose their information to specified individuals. This guide provides step-by-step instructions to help you navigate and complete the form efficiently.

Follow the steps to successfully complete the form.

  1. Click the ‘Get Form’ button to access the Authorization to Release Information Form and open it in your preferred document editor.
  2. Begin by filling in your current name in the designated field to identify yourself as the individual authorizing the release of information.
  3. Provide your telephone number and cell phone number. This information is essential for any follow-up or clarification regarding your request.
  4. Fill out your address, including your city, state, and zip code. Accurate information will assist in proper communication.
  5. Enter your email address to allow electronic correspondence related to the release of information.
  6. In the gray shaded box, specify the names and relationships of the individuals to whom you would like your information to be released. Ensure you accurately represent each individual.
  7. In the section labeled 'Information I wish to share to the person I requested to be located,' describe the specific information you authorize to be shared.
  8. Sign your name in the designated area to confirm your authorization. This signature is crucial for the form to be valid.
  9. Seek a notary public to acknowledge your signature. They will complete the notarial section of the form, ensuring its legal standing.
  10. Once all sections are completed, you can save your changes, download the form, print a copy, or share it as required.

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DCF Records Personal Records Request What Records are Available. Who May Request Records. How to Request Records. By Mail or in Person: Official Records Officer. Kansas Department for Children and Families. Office of the Secretary. 555 S. Kansas Avenue, 2nd Floor. Topeka, KS 66603. By Fax: 785-296-5937.

Contacts Executive Contact Information Office of the SecretarySecretary - Laura Howard​​​Executive Assistant - Rhonda Christie​​Senior Director of Public and Governmental Affairs – Mike Deines​​Director of Organizational Health and Development – Ron Fisher​

With the new administration of Gov. Laura Kelly, Laura Howard was appointed as interim DCF/KDADS Secretary on Jan. 3, 2019. Howard was confirmed as Secretary for both agencies by the Kansas Senate on April 1, 2019.

​To contact Kansas Child Support Services during regular business days (excluding state holidays) between the hours of 7 am to 6 pm, call the child support call center (CSCC) toll free at 1-888-757-2445.

Kansas Department for Children & Families. Provides government programs for Kansas residents who need assistance with child support services, economic and employment services, prevention and protection services, rehabilitation services, and more.

All concerns will be addressed and forwarded to appropriate agency staff who have the knowledge and experience to help. Office of Client Services can be reached at 1-833-765-2003 or at DCF.CustomerService@ks.gov.

TO PROTECT CHILDREN, STRENGTHEN FAMILIES, AND PROMOTE ADULT SELF-SUFFICIENCY.

Office of Client Services can be reached at 1-833-765-2003 or at DCF.CustomerService@ks.gov.

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