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 909 downloads

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Application 1-20-17 223.00 KB 1000 downloads

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Divorce Certification 19.00 KB 285 downloads

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Separation Certification 19.00 KB 1065 downloads

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Real Estate Asset Worksheet 126.44 KB 906 downloads

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Asset Worksheet 15.50 KB 1164 downloads

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Lump Sum Payment Certification 28.50 KB 1331 downloads

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