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  <item rdf:about="https://www.doc.ks.gov/facilities/tcf/images/tcf">
    <title>TCF</title>
    <link>https://www.doc.ks.gov/facilities/tcf/images/tcf</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>cherylca</dc:creator>
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    <dc:date>2014-01-07T17:54:04Z</dc:date>
    <dc:type>Image</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/facilities/tcf">
    <title>TCF</title>
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    <description>Topeka Correctional Facility</description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>David</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-12-02T16:37:20Z</dc:date>
    <dc:type>Folder</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/newsroom/images/taylor-eoy-award">
    <title>Taylor EoY award</title>
    <link>https://www.doc.ks.gov/newsroom/images/taylor-eoy-award</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Todd_Fertig</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-05-02T17:54:13Z</dc:date>
    <dc:type>Image</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/tasha-layton-at-topeka-correctional-facility">
    <title>Tasha Layton at Topeka Correctional Facility</title>
    <link>https://www.doc.ks.gov/tasha-layton-at-topeka-correctional-facility</link>
    <description>Singer Tasha Layton, a rising star in Christian music, brought a message of hope and strength to the residents of Topeka Correctional Facility.
This midday concert was sponsored by radio station Life 88.5 in Kansas City, and hosted by LEAD, or Ladies Empowered and Driven, the female arm of Brothers In Blue Reentry program. </description>
    <content:encoded xmlns:content="http://purl.org/rss/1.0/modules/content/"><![CDATA[<p><span>In a place often associated with despair, isolation, and hopelessness, singer Tasha Layton, a rising star in Christian music, brought a message of hope and strength to the residents of Topeka Correctional Facility. This midday concert was sponsored by radio station Life 88.5 in Kansas City, and hosted by LEAD, or Ladies Empowered and Driven, the female arm of Brothers In Blue Reentry program. For many who were not familiar with Tasha Layton before her concert, they quickly became fans of her music and the woman she is.</span></p>
<p><iframe frameborder="0" height="315" src="https://www.youtube.com/embed/l1BMaavxrng?si=cHGfzWtOxqB4tII9" title="YouTube video player" width="560"></iframe></p>]]></content:encoded>
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>David Thompson</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2025-05-21T15:25:00Z</dc:date>
    <dc:type>News Item</dc:type>
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    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Todd_Fertig</dc:creator>
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    <dc:date>2013-12-05T20:06:44Z</dc:date>
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  <item rdf:about="https://www.doc.ks.gov/juvenile-services/supervision-standards/jias/table-of-contents-7-22">
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    <link>https://www.doc.ks.gov/juvenile-services/supervision-standards/jias/table-of-contents-7-22</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2022-07-01T14:51:21Z</dc:date>
    <dc:type>File</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/facilities/prea/Surveys">
    <title>Survey of Sexual Victimization</title>
    <link>https://www.doc.ks.gov/facilities/prea/Surveys</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2018-05-29T20:30:00Z</dc:date>
    <dc:type>Folder</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/victim-services/SurveyFY21">
    <title>Survey FY21/Q3</title>
    <link>https://www.doc.ks.gov/victim-services/SurveyFY21</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2018-10-02T14:30:00Z</dc:date>
    <dc:type>Folder</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/victim-services/survey-fy21-q2">
    <title>Survey FY21/Q2</title>
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    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2021-01-11T21:13:25Z</dc:date>
    <dc:type>Link</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/juvenile-services/grants/supporting-community-organizations-in-improving-outcomes-for-juvenile-offenders-and-families-flyer">
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    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>David Thompson</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2025-01-14T15:56:59Z</dc:date>
    <dc:type>File</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/juvenile-services/committee/documentation/january-19th-2024/supplemental-presentations">
    <title>Supplemental &amp; Presentations</title>
    <link>https://www.doc.ks.gov/juvenile-services/committee/documentation/january-19th-2024/supplemental-presentations</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Matthew Billinger</dc:creator>
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    <dc:date>2024-01-22T18:27:21Z</dc:date>
    <dc:type>Folder</dc:type>
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  <item rdf:about="https://www.doc.ks.gov/juvenile-services/supervision-standards/supervision-standards">
    <title>Supervision Standards: Forms</title>
    <link>https://www.doc.ks.gov/juvenile-services/supervision-standards/supervision-standards</link>
    <description></description>
    <content:encoded xmlns:content="http://purl.org/rss/1.0/modules/content/"><![CDATA[<p style="padding-left: 120px; "> </p>
<p style="text-align: center; "><img alt="KDOC logo" class="image-inline" src="../../images/KSCorrectionsLogo_Blue-Gold_PMS.jpg/@@images/image/thumb" /></p>
<h2 style="text-align: center; "><strong>Juvenile Services - Supervision Standard Forms</strong></h2>
<p></p>
<table style="width: 84.12%;">
<tbody>
<tr>
<td id="" scope="" style="width: 40px; text-align: left;"><a class="internal-link" href="forms/0014-acknowledgement-parental-obligation">0014</a></td>
<td id="" scope="" style="width: 250px;">
<p>Acknowledgement of Parental Obligation</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0020-hearing-request">0020</a></p>
</td>
<td width="319">
<p>Request for Permanency Hearing Within 30 Days</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0064-trust-fund">0064</a></p>
</td>
<td width="319">
<p>Trust Fund Reimbursement/ Withdrawal Request</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0065-social-security">0065</a></p>
</td>
<td width="319">
<p>Notice to Social Security</p>
</td>
</tr>
<tr>
<td colspan="1" style="text-align: center; ">
<p style="text-align: left; "><a class="internal-link" href="0066a-critical-incident-report"><em></em>0066A</a></p>
</td>
<td colspan="1" style="text-align: left; ">Critical Incident Report</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="KDOC0085.pdf">0085</a></p>
</td>
<td width="319">
<p>Permanency Plan/ Court Report</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="KDOC0086.pdf">0086</a></p>
</td>
<td width="319">
<p>Provider Placement Agreement</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0087-client-service">0087</a></p>
</td>
<td width="319">
<p>Client Service Agreement Payment Authorization</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0088-release-information">0088</a></p>
</td>
<td width="319">
<p>Authorization for Release of Confidential Information</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0089-travel">0089</a></p>
</td>
<td width="319">
<p>Travel Permit</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0090-foster-report">0090</a></p>
</td>
<td width="319">
<p>Foster Parent Report to the Court</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="consent-to-medical-care">0091</a></p>
</td>
<td width="319">
<p>Consent to Medical Care</p>
</td>
</tr>
<tr>
<td colspan="1" style="text-align: center; ">
<p style="text-align: left; "><a class="internal-link" href="0092-medical-consent-parent">0092</a></p>
</td>
<td colspan="1">Medical Consent - Parent</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0093-affidavit">0093</a></p>
</td>
<td width="319">
<p>Affidavit</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0094-juvenile-supervision-plan">0094</a></p>
</td>
<td width="319">
<p>Juvenile Supervision Plan</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0110-orientation-check">0110</a></p>
</td>
<td width="319">
<p>Standardized Orientation Checklist</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0112-placement-notification">0112</a></p>
</td>
<td width="319">
<p>Standardized Placement Notification</p>
</td>
</tr>
<tr id="">
<td width="393">
<p><a class="internal-link" href="forms/0114-eeif">0114</a></p>
</td>
<td width="319">
<p>Educational Enrollment Information Form (EEIF)</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0120-emergency-shelter">0120</a></p>
</td>
<td width="319">
<p>Emergency Shelter - Placement Extension Request</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0121">0121</a></p>
</td>
<td width="319">
<p>New Employee Orientation Checklist</p>
</td>
</tr>
<tr>
<td colspan="1">
<p><a class="internal-link" href="forms/conditional-release-placement-exception-form">0130</a></p>
</td>
<td colspan="1">
<p>Conditional Release Placement Exception Request</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="0131-cip-application">0131</a></td>
<td colspan="1">
<p>Community Integration Program Application</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/0152">0152</a></td>
<td colspan="1">
<p>Foster Parent/Staff Annual Tracking Sheet</p>
</td>
</tr>
<tr>
<td colspan="1" style="text-align: left; "><a class="internal-link" href="forms/0180">0180</a></td>
<td colspan="1">
<p>Community Supervision Agency Program Hours Tracking Worksheet</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="../library/yls/Checklist">0181</a></td>
<td colspan="1">
<p>Interview Observation Checklist</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="KDOC0190CourtNotificationofAllegedViolation.pdf">0190</a></td>
<td colspan="1" style="text-align: left; ">
<p>Court Notification of Alleged Violation</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/0200-placement-cap">0200</a></td>
<td colspan="1">
<p>Placement CAP Exception Request</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/form-a">Form A</a></td>
<td colspan="1">
<p>Notice of Earned Discharge Credit Award</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/form-b">Form B</a></td>
<td colspan="1">
<p>Denial of Earned Discharge Credit</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/pps-5460-change-notice">PPS-5460</a></p>
</td>
<td width="319">
<p>Notice of Change in IV-E/ Medicaid Eligibility or CSE Status</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/pps-5410-eligibility">PPS-5410A</a></p>
</td>
<td width="319">
<p>Initial IV-E Eligibility Determination</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="iv-e-eligibility-redetermination">PPS-5425A</a></p>
</td>
<td width="319">
<p>IV-E Eligibility Redetermination</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/5q-disclose-info">Appendix 5Q<br /></a>(formally CFS-4003)</p>
</td>
<td width="319">
<p>Authorization to Disclose Information, Including Child(ren)'s Individually Identifiable Health Information (Required to save information on the Foster Care/ EEIF Database)</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/ferpa001-consent-release-info">KSDE/ FERPA001</a></p>
</td>
<td width="319">
<p>Consent for Release of Information (Required to save information on the Foster Care/ EEIF Database)</p>
</td>
</tr>
</tbody>
</table>
<p> </p>
<h3 style="text-align: center; ">Kansas Department of Health &amp; Environment<br /> </h3>
<table style="width: 84.12%;">
<tbody>
<tr>
<td scope="" style="width: 393px;">
<p><a class="internal-link" href="forms/ccl-053-medical-record">CCL 053</a></p>
</td>
<td width="319">
<p>Medical Record for Children in 24-hour Care Facilities</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/ccl-054-dental-record">CCL 054</a></p>
</td>
<td width="319">
<p>Continuous Dental Record for Children in Foster Care</p>
</td>
</tr>
</tbody>
</table>
<p style="text-align: center; "><strong><a class="internal-link" href="supervision-standards-1"><br /></a></strong><a class="internal-link" href="supervision-standards-1">Return to Standards Listing</a>  | <a class="internal" href="glossary">Glossary</a></p>]]></content:encoded>
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-07T19:55:00Z</dc:date>
    <dc:type>Page</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/juvenile-services/supervision-standards">
    <title>Supervision Standards</title>
    <link>https://www.doc.ks.gov/juvenile-services/supervision-standards</link>
    <description>Juvenile Services Supervision Standards Forms</description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-15T04:55:00Z</dc:date>
    <dc:type>Folder</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/juvenile-services/library">
    <title>Supervision Officers Library</title>
    <link>https://www.doc.ks.gov/juvenile-services/library</link>
    <description>Information and forms frequently used by Supervision Officers</description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Judy.Grant</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2016-06-27T14:05:00Z</dc:date>
    <dc:type>Folder</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/juvenile-services/library/MCO/sunflower-health-plan-fc-desk-aid">
    <title>Sunflower Health Plan FC Desk Aid</title>
    <link>https://www.doc.ks.gov/juvenile-services/library/MCO/sunflower-health-plan-fc-desk-aid</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Andrea Juarez</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2023-01-30T06:00:00Z</dc:date>
    <dc:type>File</dc:type>
  </item>




</rdf:RDF>
