The Economic and Employment SERVICES Manual 10-24
APPENDIX

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ALIEN INFORMATION - A

Item Number

Revised
Date

PROGRAM SECTION

File
Format

A-1

03-22

KEES Non-Citizenship Documents and Eligibility

PDF

A-2

05-03

Guidance on Noncitizen Verification (Food Assistance Program)

 

PDF

A-4

10-16

SSA 40 Qualifying Quarters: User Instructions, Consent for Release of Information (SSA-3288) (linked in document), Request for Quarters of Coverage History Based on Relationship (SSA-513), Request to Resolve Questionable Quarters of Coverage (SSA-512)

PDF

A-10

 05-23

Systematic Alien Verification for Entitlements (SAVE) Guide to Understanding Verification Responses

 PDF

A-11

INS Class of Admission Codes

PDF

A-12

04-22

Citizenship and Identify Verification

 

PDF

         

APPEALS/CLAIMS/DISQUALIFICATIONS/LEGAL - B

Item Number

Revised
Date

PROGRAM SECTION

File
Format

B-1

05-14

Food Assistance Disqualification Consent Agreement

 

PDF

B-3

05-15

TANF and Child Care Disqualification Consent Agreement

 

PDF

B-4

10-23

FA Allotment Motion to Dismiss

DOC

  

B-5

01-18

Appeal Summary

DOC

 

B-6

05-16

Request for Trust/Annuity Clearance

 

PDF

B-7

09-18

Overpayment Checklist

XLS

 

CHILD CARE - C

Item Number

Revised
Date

PROGRAM SECTION

File
Format

C-10

12-23

Child Care Provider Handbook (ES-1655)

 

PDF

C-10S

04-22

Child Care Provider Handbook
(ES-1655) (Spanish)

C-11

12-23

The Parent - Provider Partnership Handbook
(ES-1656)

 

PDF

C-11S

12-23

The Parent - Provider Partnership Handbook
(ES-1656) (Spanish)

 

C-12

04-22

Regulated Provider Enrollment (ES-1650)

 

PDF

C-12S

04-22

Regulated Provider Enrollment (ES-1650) (Spanish)

  

PDF

C-13

04-22

Unregulated Provider Enrollment (ES-1651)

 

PDF

C-13S

04-22

Unregulated Provider Enrollment (ES-1651) (Spanish)

  

PDF

C-14

04-22

In-Home Child Care Request (ES-1652)

 

PDF

C-14S

04-22

In-Home Child Care Request (ES-1652) (Spanish)

 

PDF

C-15

04-22

Out of Home Relative Provider Enrollment
(ES-1653)

 

PDF

C-15S

04-22

Out of Home Relative Provider Enrollment
(ES-1653) (Spanish)

 

PDF

C-18

10-24

Maximum Hourly Child Care Provider Rate Schedule

 

PDF

C-18a

10-24

Maximum Hourly Child Care Provider Rate Schedule (by county groupings)

 

PDF

C-19

07-02

Policy Statement on Discipline

 

C-19S

07-02

Policy Statement on Discipline (Spanish)

 

C-20

10-03

Turn Around Communication

 

PDF

DIRECTORIES - D

Item Number

Revised
Date

PROGRAM SECTION

File
Format

 

See Web Links for other Directories

SELF-SUFFICIENCY - E

Item
Number

Revised
Date

PROGRAM SECTION

File
Format

E-1*

10-20

TANF Coding Chart for Work Programs in KEES

 

PDF

E-2

05-16

Income and Support Plan II

DOC

 

E-3*

01-21

SBDT Referral Process Guide

 

PDF

E-4

07-19

TANF 24 Month Limit Questions

 

E-5*

03-19

Work Programs Penalty Checklist for Administrative Review

DOC

 

E-6

10-21

Self-Assessment Form

 

PDF

E-6S

11-21

Self-Assessment Form (Spanish)(Fillable/Email)

 

PDF

E-6FAET

10-24

FAET Self-Assessment Form

 

PDF

E-6FAETS

10-24

FAET Self-Assessment Form (Spanish)

  

PDF

E-7*

06-22

E&T Self-Sufficiency Agreement

  

PDF

E-7S*

06-22

E&T Self-Sufficiency Agreement (Spanish)

  

PDF

E-8

06-22

TANF Self-Sufficiency Agreement

 

PDF

E-8S

06-22

Self-Sufficiency Agreement (Spanish)

  

PDF

E-10

11-24

Employment Services Program Comparison Chart

 

PDF

E-11

10-23

Education/Training Assistance Desk Aid

DOC

PDF

E-12

05-17

EES Screening Tool for Referral to Rehabilitation Services

 

PDF

E-13*

07-20

KEHS-CC Instructions for Participation Hours in Employment Services

 

PDF

E-14

05-16

Work Program Assessment Protocol

 

PDF

E-16*

05-03

Work Experience Procedure/Best Practice

 

PDF

E-17

02-07

Community Service Procedure/Best Practice

 

PDF

E-18

03-10

Orientation to the World of Work

 

PDF

E-19

12-07

Work Site Supervisor's Handbook

 

PDF

E-26

10-24

Consolidated Work Requirements

  

PDF

E-26S

10-24

Consolidated Work Requirements (Spanish)

  

PDF

FINANCIAL STANDARDS - F

Item Number

Revised
Date

PROGRAM SECTION

File
Format

F-1

04-24

Monthly Family Income and Family Share Deduction Schedule for Child Care Services

 

XLS

F-2

08-24

Food Assistance Program Standard
October 2023-Sept 2024

 

F-3

08-24

Food Assistance Program Benefit Tables
Oct 2023-Sept 2024

 

XLS

F-4

07-11

TABLE I - TANF NonShared Living

 

F-5

10-99

TABLE II - TANF Shared Living

HTML

F-6

10-24

S-EBT Income Limits

DOC

PROGRAM HELPS - P

Item Number

Revised
Date

PROGRAM SECTION

File
Format

P-1

04-20

Medical Expense Guidelines for Food Assistance

 

P-2

05-23

Procedures for Responding to Unclear Information During the Review Period

 

PDF

P-3

07-18

Protective Payment Agreement
Attachment

DOC

P-4

05-17

Kelley Blue Book User Instructions

 

P-5

01-03

Statement of Common-Law Marriage

 

P-7

10-07

Declaration of Identity - Child

 

PDF

P-8

01-07

Declaration of Citizenship

 

P-9

10-07

Declaration of Identity - Disabled Adult

 

P-10

10-21

Appropriate Federal Regulation

 

PDF

P-15

07-23

Application Signature Request

DOC

 

P-17

10-99

Statement of Intent to Return Home

  

PDF

P-18

06-24

Hardship Instructions

DOC

REFERRALS - R

Item
Number

Revised
Date

PROGRAM SECTION

File
Format

R-4

08-21

Employment Services (ES) & Vocational Rehabilitation (VR) Coordination ProcedureBest Practice

DOC

 

R-5

10-23

EES/RS Change Report:

DOC

 

R-6

05-23

SNAP Head Start Flyer

  

PDF

R-6S

05-23

SNAP Head Start Flyer-Spanish

  

PDF

R-12

10-23

EES Screening Tool for Referral to Rehabilitation Services

DOC

TABLES/CHARTS - T

Item Number

Revised
Date

PROGRAM SECTION

File
Format

T-1

10-23

Activities to Meet Work Requirements/ Participation

 

T-2

04-18

County Group Assignments Chart

 

PDF

T-3

05-07

Life Estate Valuation Tables

 

PDF

T-4

07-09

Life Expectancy Tables

  

PDF

T-6

05-17

Relationship Chart (For TANF Only)

 

PDF

T-10

05-10

Food Assistance Shelter Changes Chart

 

PDF

T-12

10-09

Retirement Accounts Excluded From Resources by the Food and Nutrition Act of 2008

 

PDF

EBT - V

Item Number

Revised
Date

PROGRAM SECTION

File
Format

V-1

 

Electronic Benefit Transfer System Guide

 

V-2

12-22

EBT Brochure – SNAP/Cash/CC (English)

  

V-3

12-22

EBT Brochure – SNAP/Cash/CC (Spanish)

  

 WORKSHEETS - W

W-1

10-99

Costs of Goods Sold (Attachment)

W-2

07-16

Daily Business Log Sheet

 

W-3*

01-18

Missing Check Worksheet

W-4*

01-18

Child Support Worksheet

W-7

02-94

Self-Employment Worksheet

W-10

05-08

Annuity Evaluation Worksheet

 

W-14

04-22

Social Service - Essential Function 250% FPL Worksheet

XLS

 
     

 

  

MISCELLANEOUS - X

Item
Number

Revised
Date

PROGRAM SECTION

File
Format

X-1

05-05

Abbreviations & Acronyms Used by KS DCF See Web Links

 

X-2

 

An Expanded Definition of "Eligible Foods"
See SNAP Eligible Food Items

 

X-3

05-07

Appointment of Authorized Agent

 

PDF

X-6

10-19

Definitions of Common Terms

 

X-7

03-18

Safeguarding Federal Tax Information

 

X-13

11-22 

USDA Nondiscrimination Statement

 

PDF

*These numbers were formerly assigned to items no longer in use.