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 905 downloads

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Asset Worksheet 15.50 KB 1158 downloads

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Divorce Certification 19.00 KB 278 downloads

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Lump Sum Payment Certification 28.50 KB 1324 downloads

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Real Estate Asset Worksheet 126.44 KB 899 downloads

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Recert Application 1-20-17 171.00 KB 831 downloads

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Separation Certification 19.00 KB 1060 downloads

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