Kansas Forms

For all state required compliance forms, please visit KHRC’s website.

Below are additional compliance forms provided by MHEG. If you have questions about what forms to use, please contact our Compliance Department for assistance at #402-334-8899.

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Kansas Forms

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Asset Worksheet 15.50 KB 1107 downloads

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Lump Sum Payment Certification 28.50 KB 1287 downloads

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Separation Certification 19.00 KB 1025 downloads

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Real Estate Asset Worksheet 126.44 KB 854 downloads

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Divorce Certification 19.00 KB 232 downloads

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Application 1-20-17 223.00 KB 334 downloads

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Recert Application 1-20-17 171.00 KB 250 downloads

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