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B*0 D/0 D+1 021 D/83 0g3 0654 0k4 0:s5 0^5 0< 6 1eG6U66U*>6U* 7 1uJ7 72777777777 B777777 B8HP LaserJet 8150 Series PCL,,,,0(@ Z 6Times New Roman RegularX($9V6.` 3|x TABLE ARequest to interview a child at school  / ' DON0DON .   96 HSUTABLE BTABLE CTABLE D*+ (_2623  ..*G+G (_25   /%` ` hp x /23  ../%` ` hp x /   *8+8 (_24  ," hp x ,23  ..," hp x ,  *5+5 (_23 ` ) hp x )23  ..) hp x ) ` *2+2 (_22  &hhp x &23  ..&hhp x &  */+/ (_21  #p x #23  ..#p x #  *,+, (_20 h  p x 23  .. p x h *)+) (_19  pp x 23  ..pp x    d*&+& (_18   x 23  .. x   *AA (_17  5+ ` hp x 523  Ԁ5+ ` hp x 5  *GG (_16   /%` ` hp x /23  Ԁ/%` ` hp x /    'dxd*88 (_15  ," hp x ,23  Ԁ," hp x ,  *55 (_14 ` ) hp x )23  Ԁ) hp x ) ` $ *22 (_13  &hhp x &23  Ԁ&hhp x &  *// (_12  #p x #23  Ԁ#p x #  *,, (_11 h  p x 23  Ԁ p x h *)) (_10  pp x 23  Ԁpp x   (&& &_9   x 23  Ԁ x   (AA &_8  5+ ` hp x 523  5+ ` hp x 5  (GG &_7   /%` ` hp x /23  /%` ` hp x /   (88 &_6  ," hp x ,23  ," hp x ,  (55 &_5 ` ) hp x )23  ) hp x ) ` (22 &_4  &hhp x &23  &hhp x &  (// &_3  #p x #23  #p x #  (,, &_2 h  p x 23   p x h ()) &_1  pp x 23  pp x   &&& $_   x 23   x   0AA.Normal  5+ ` hp x 55+ ` hp x 5  <AA:Definition T  5+ ` hp x 55+ ` hp x 5  <AA:Definition L , 5+ ` hp x 5  5+ ` hp x 586Definition(hh&H1  5+ ` hp x 5      5+ ` hp x 5  (]]&H2  5+ ` hp x 5  5+ ` hp x 5  (]]&H3  5+ ` hp x 5  5+ ` hp x 5  (]]&H4  5+ ` hp x 5 XXX 5+ ` hp x 5  (]]&H5  5+ ` hp x 5  5+ ` hp x 5  (]]&H6  5+ ` hp x 5  5+ ` hp x 5  2DD0Address  5+ ` hp x 55+ ` hp x 5  8MM6Blockquote , , 5+ ` hp x 5   5+ ` hp x 5,*CITE,dl*CODEKV<6X9`(Courier NewKSW\  `&Times New RomanS42Emphasis64Hyperlink    <:FollowedHype    4go2Keyboard KV<6X9`(Courier NewKSW\  `&Times New RomanS <:Preformatted  /%  ,Kk %#/KV<6X9`(Courier NewKSW\  `&Times New RomanS/%  ,Kk %#/  <:zBottom of 7K(X7    5+ ` hp x 5?X%2A`Arial?  SW\  `&Times New RomanS7L(X75+ ` hp x 5  &  d dJ)1dxd'dxd<:zTop of For7N(X7    5+ ` hp x 5?X%2A`Arial?  SW\  `&Times New RomanS7L(X75+ ` hp x 5  J)2dxd0KS.SampleKV<6X9`(Courier NewKSW\  `&Times New RomanS0.Strong 8dl6TypewriterKV<6X9`(Courier NewKSW\  `&Times New RomanS42Variable: 8HTML MarkupB      2 0CommentB  "#%&()*+ 35;AGMSY_11.1.1.1.1.1.1.1.<6X9`(Courier New\  `&Times New Roman%2A`Arial3#37=CIQYag1.a.i.(1)(a)(i)1)a)Yi) d d !  _XXTRX3'X3' Letter3'Letter3'LetterT  *ddd Xdd Xdd X(#(#,A dd , dd ,A dd +  $XX $ ,XX  STATEOFKANSAS d DEPARTMENTOFSOCIALANDREHABILITATIONSERVICES   CHILDRENANDFAMILYSERVICES#X?X ,# ',  '4 'd 'XX?  CFS1003#X?X# d XX?July2007#X?Xa# Z XX?Page1of2   +!>0 + &$%@ REQUESTTOINTERVIEWACHILDATSCHOOL #%&$N#Ԉ .$p  . &$%@* #%&$#Ԉ%4    % *ddA dd A dd A dd A (#(#,dd ,'dd ,dd ,dd ,ddd ,dd , dd ,,dd ,dd +  4 !  4&$%TheKansasDepartmentofSocialandRehabilitationServicesrequests: B 3$f    B#%&$S#School > -$ z   >&$% 6 : - z   :#%&$` #of(U.S.D.)No.&$% @ -$ z  @ @ - z   @#%&$ #toprovideanappropriatesiteonschoolpremisesforthepurposeofconductinganintervieworinterviewswith(NamesofPupils) @ -$>    @ 7 $p     7 7 $ J    7 < -|    <&$%Thisrequestisforthedate(s)of: @ -$   @#%&$$ # @ -   @T A 2$r   AT &$%at: 6iiii#!Z  6 0&Ziiii 0Specifictime: ; *!Z ; 3)Z  3 6iiii#!Z 6 9 &Ziiii 9Immediate K 8!Z   KT P =)n      P#%&$p #&$%Requestedby:T8 O @)W     OSRSSocialWorker: @ -$8   @ F 7 8!    FSRSOffice: @ -$i"  @ A 2 i#    APhone#: @ -$J$  @#%&$# < -J%  <ffT I 6$^&  IT+ff4*(^'    4* 'd ddd 'dd 'dd dd ddd ddd  dd ,dd ,dd (#(#,xdd +  ),', )&$%Note: ( SchoolpersonnelareNOTREQUIREDBYLAWtonotifyparentsorcustodiansofaninvestigation h) bytheDepartmentofSocialandRehabilitationServicesoralawenforcementagency.Contactinga @* parentorcustodianconcerningareportorinvestigationmayhavethepotentialforfurtherharmtothe p+ child. H, 33AtthediscretionofSRSoralawenforcementagency,aschoolpersonmayberequestedtobepresent  _. duringtheinterview,basedonthebestinterestsofthechild.Thepersonrequestedtobepresentmay !7/ decline.Thereisnostatutoryauthorityforaschooltorequirethepresenceofschoolpersonnelinthe g" 0 interview.* ?# 1 33SRSmaydisclosetoschoolpersonnelsuchinformationastheschoolneedstocarefororprotectthe $V"3 child.Thedepartmentisalsopermittedtosummarizetheoutcomeoftheinvestigationforthereporter %.#4 ofabuseorneglect.*'^&$5  '#%&$5#*k 'ddxdd x (#(#k,dd ,dd ,dd ,,dd ,Idd +  0&f'%5f'%  0*Seereverseforadditionalinformation. >4)'r%6    >TDistribution: 'iiii(&7 ' -#(&8iiii -School 'iiii(&9 'Ѐ -#(&:iiii -SRS"(&;  "T@ ThisformsupersedesformCY2882(rev.1/88)##Ԉ *'< _  *(=   @@* @  @p  @  @   @x CFS1003 X July2007  Page2of2 < z  &$%EXCERPTSFROMTHEKANSASCODEFORCAREOFCHILDREN   B S< S#%&$N#W#WW##W9#W U"#%&()*+(03YWX?XW#X?XXWX?ڞ#WX?XXX? 382212 _(c)_Ԁ#WXWX?>##W#X?XWX?XXX?Necessaryaccess.#WXWX? ##W9 #X?XWX?XXX?ԀThefollowingpersonsorentitiesshallhaveaccesstoinformation   fromagencyrecords.Accessshallbelimitedtoinformationreasonablynecessarytocarryout    theirlawfulresponsibilities,tomaintaintheirpersonalsafetyandthepersonalsafetyof  k  individualsintheircare,ortoeducate,diagnose,treat,carefororprotectachildallegedtobein  W  needofcare.Informationauthorizedtobedisclosedpursuanttothissubsectionshallnotcontain  C  informationwhichidentifiesareporterofachildwhoisallegedoradjudicatedtobeachildin  /  needofcare. s  #WXWX?ڲ ##W # SX?XWX?XXX?S Z  S#WXWX?$##W1$#W#W$#WWX?XW#X?XXWX?%#WX?XXX?(11)Anyeducationalinstitutiontotheextentnecessarytoenabletheeducationalinstitutionto   providethesafestpossibleenvironmentforitspupilsandemployees.  #WXWX?"%##Wd%#W#W&#W#W&#X?XWX?XXX?(12)Anyeducatortotheextentnecessarytoenabletheeducatortoprotectthepersonalsafetyof 0 theeducatorandtheeducator'spupils   S#WXWX?'##W='#W#W(##j(#&$% #%&$(#%  SL S_ X?XWX?XXX?38_2226 #WXWX?ڂ)##W)#X?XWX?XXX?(g)#WXWX? *##W?*#X?XWX?XXX?Cooperationbetweenschoolpersonnelandinvestigativeagencies.#WXWX?ګ*##W*#X?XWX?XXX?Ԁ L (1)Educationalinstitutions,thesecretaryandlawenforcementagenciesshallcooperatewith 7 eachotherintheinvestigationofreportsofsuspectedchildabuseorneglect.Thesecretaryand {# lawenforcementagenciesshallhaveaccesstoachildinasettingdesignatedbyschoolpersonnel g onthepremisesofaneducationalinstitution.Attendanceataninterviewconductedonsuch S premisesshallbeatthediscretionoftheagencyconductingtheinterview,givingconsiderationto ? thebestinterestsofthechild.Totheextentthatsafetyandpracticalconsiderationsallow,law + enforcementofficersonsuchpremisesforthepurposeofinvestigatingareportofsuspectedchild  abuseorneglectshallnotbeinuniform.  #WXWX?r+##W+#X?XWX?XXX?(2)Thesecretaryoralawenforcementofficermayrequestthepresenceofschoolpersonnel B duringaninterviewifthesecretaryorofficerdeterminesthatthepresenceofsuchpersonmight . providecomforttothechildorfacilitatetheinvestigation.    _#WXWX?ڀ/##W/#W_#Wl1##M1#X?XWX?XXX?#WXWX?1##W2#