FORMS
All required forms should be completed and returned to the Kansas Unemployment Contact Center as indicated on the form. Many of the forms can be completed online and submitted by using the "Submit" button at the bottom of the form. The light blue boxes indicate the fillable areas. Print a copy of the completed form for your records. Note: If you use the "Submit" button, your statement will be considered signed when received. If faxing the form, be sure to print all the pages and send both sides of the form if you have written information on the back of the page. If you choose not to submit the form electronically, be sure to sign it before sending it to the Contact Center.
Able and Available Statements
Tax Withholding
Other
Alien Statement K-BEN 3117
En Español, K-BEN 3117-A
Bonus Pay – Claimant K-BEN 3121
Claimant Separation Statement, K-BEN 3110
Do These Activities to Get Paid Benefits, K-BEN 992
Health Care Provider's Certification, K-BEN 312
Job Refusal Statement, K-BEN 3118-A
Labor Dispute Statement, K-BEN 314
My Reemployment Plan, K-BEN 990
En Español, K-BEN 990-A
Officer of Corporation Statement, K-BEN 3120-B
Pension Statement, K-BEN 3113
Reasonable Assurance Statement, K-BEN 3136
Request for Disclosure of Tax/Benefit Information, K-RM 002
Request for Information - Ability to Work, K-BEN 5691
School Attendance, K-BEN 317
Self Employment Statement, K-BEN 3120-A
Separation Pay Statement, K-BEN 3119
Substitute School Employee Statement, K-BEN 3137
Warn Act Award – Claimant, K-BEN 3115
Worked Full-Time, K-BEN 230
Work Search Activity Log, K-BEN 987