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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Recert Application 1-20-17 171.00 KB 364 downloads

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Application 1-20-17 223.00 KB 515 downloads

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Divorce Certification 19.00 KB 248 downloads

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Separation Certification 19.00 KB 1035 downloads

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Real Estate Asset Worksheet 126.44 KB 868 downloads

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Asset Worksheet 15.50 KB 1120 downloads

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Lump Sum Payment Certification 28.50 KB 1298 downloads

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