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State of Kansas Department of DCF Appendix 5R REV. Jul2015 Prevention and Protection Services Checklist for Request for Consent to Adopt Page 1 of 2 This form is to be used by the PPS Adoption Specialist
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01
Start by providing the child's full name, including first, middle, and last names.
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Mention the child's nationality or citizenship.
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Include the child's social security number or any identification number required.
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Provide the contact information for the child, such as a phone number or email address, if applicable.
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If the child has any medical conditions or allergies, disclose this information and provide relevant details.
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If the child is attending school or daycare, mention the name of the institution and grade level.
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What is information regarding child?
Information regarding child includes details such as their name, date of birth, and relationship to the filer.
Who is required to file information regarding child?
Anyone who has dependents or children under their care is required to file information regarding child.
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Information regarding child can be filled out using forms provided by the relevant authorities or through online platforms.
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The purpose of information regarding child is to ensure that the government has accurate data on dependents for tax and welfare purposes.
What information must be reported on information regarding child?
Information regarding child must include details such as the child's name, date of birth, and social security number.
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