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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Recert Application 1-20-17 171.00 KB 937 downloads

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Application 1-20-17 223.00 KB 1066 downloads

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Divorce Certification 19.00 KB 288 downloads

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Separation Certification 19.00 KB 1067 downloads

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Real Estate Asset Worksheet 126.44 KB 909 downloads

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Asset Worksheet 15.50 KB 1165 downloads

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Lump Sum Payment Certification 28.50 KB 1331 downloads

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