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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Application 1-20-17 223.00 KB 499 downloads

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Asset Worksheet 15.50 KB 1117 downloads

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Divorce Certification 19.00 KB 247 downloads

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Lump Sum Payment Certification 28.50 KB 1297 downloads

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Real Estate Asset Worksheet 126.44 KB 865 downloads

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Recert Application 1-20-17 171.00 KB 352 downloads

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Separation Certification 19.00 KB 1034 downloads

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