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Forms

Division of Human Resources
Kansas State University
103 Edwards Hall
Manhattan, KS 66506-4801
785-532-6277
785-532-6095 (fax)
8 a.m. - 5 p.m. (CST)
Contact HR
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Forms in Numerical Order

Numerical List of Forms
FORMS Number & NameDatedInstructions
or Information
Versions
AA-28,   Initial Screening of Candidates Prior to Interview   Instructions RTF Word PDF Excel
DA-6P,   Paycheck Stop Payment Request 05/2006 Information NA NA PDF Excel
DA-22,   Agreement for Reimbursement of Moving Expenses 11/1998 Moving Expenses RTF Word PDF  
DA-281-2,   Position Description (Classified) (Special) 1/1999 PPM 4210
Position Descriptions Checklist
RTF Word PDF  
DA-29-363,  Health Care Selection Form 06/2003 Health Insurance     PDF  
DA-2004a,   Tax Clearance Information Form for Candidates and New Hires 05/2004 Information     PDF  
DPS-417,   Substance Abuse Policy Affirmation Form 5/2007 Information RTF Word PDF  
I-9,   Employment Eligibility Verification 08/2009 Instructions NA NA PDF  
K-4,    Kansas Employee's Withholding Allowance Certificate 09/2007 Information     PDF  
KPERS 79,   Optional Group Life Reduction/Cancellation Form 09/2003 Optional Life     PDF 
KPERS-7/99,   Designation of Beneficiary 07/2006 PPM 4820.60     PDF  
PER-3,   Above Step Request 10/2003 PPM 4450.30 RTF Word PDF  
PER-5,   Request for Certified Names 07/2003 Department Recruitment Procedures RTF Word PDF  
PER-7,    Departmental Employee of the Year Award & Recognition Program Monetary Award Payment Form Guidelines RTF Word PDF  
PER-8,   Supplemental Pay Form     RTF Word PDF  
PER-9,   Leave Balance Correction Sheet 5/2001 Information RTF Word PDF  
PER-10,   Affirmative Action Classified Selection Report   Included
Affirmative Action-Recruitment
RTF Word PDF  
PER-12,   Request for Temporary ID for Foreign Graduate Students or Exchange Visitors 7/2003 Included RTF Word PDF  
PER-13,   Investment Agreement - Mandatory Retirement Plan (Kansas Board of Regents) 01/2007 PPM 4810.20 RTF Word PDF  
PER-14,   U.S. Savings Bond Payroll Savings Authorization 01/2007 Included
U.S. Savings Bonds
RTF Word PDF  
PER-15,   KSU Foreign National Tax Information Form 07/2007 Included
Visa Classifications
RTF Word PDF  
PER-16,   Exit Interview for Classified Employees 6/2003 PPM 4950.15 RTF Word PDF  
PER-17,   Accident/Injury Report (Workers' Compensation) 07/2009 PPM 4820.100 RTF Word PDF  
PER-19,   Investment Agreement - Voluntary Retirement Plan 11/2008 PPM 4810.80 RTF Word PDF  
PER-20,   Faculty and GTA Spoken English Competency Assessment Sheet 09/2009 Included
Unclassified
Graduate Student
RTF Word PDF  
PER-20A,   GTA Spoken English Remediation Course/Program Approval Request 09/2009 Included
Graduate Student
RTF Word PDF  
PER-21,   Agreement for School Employee Appointment 03/2004   RTF Word PDF  
PER-22,   Affiliated Person or Emeritus Faculty Form (PER-22) 7/2009 Included RTF Word PDF  
PER-23,   Position Description (Unclassified Professional Positions) 10/2009 Instructions
Position Descriptions Checklist
RTF Word PDF  
PER-24,   Employee Separation Checklist 02/2008 Classified Separations
Unclassified Separations
PPM 4950
RTF Word PDF  
PER-25,   Educational Authorization Form 5/1998 PPM 4870.20 RTF Word PDF  
PER-26,   Annual Review of Classified Position Descriptions 07/2008 PPM 4210 RTF Word PDF  
PER-28,   Agreement of Understanding for Overlapping Appointment 10/2004 Military Service Policy RTF Word PDF  
PER-29, Student Employee Performance Review 05/2004 PPM 4720#130 RTF Word PDF  
PER-32A,   Application for President's Scholarship 01/2007 PPM 4870.40 RTF Word PDF  
PER-33,   Documentation of Service for Immediate Participation in Regents Retirement Program 01/2007 PPM 4810.20 RTF Word PDF  
PER-34,   Overtime Compensation Agreement for Non-Exempt Employees 02/2007 PPM 4220.70 RTF Word PDF  
PER-36, Position Data Sheet 02/2007 Unclassified
Classified
RTF Word PDF  
PER-37,   Notification of Retirement 6/2009 PPM 4810 RTF Word PDF  
PER-38,   Appointment Form 09/2008 Unclassified
Classified
RTF Word PDF  
PER-39,   Change or Separation Form 12/2006 Unclassified
Classified
Grad Student
RTF Word PDF  
PER-40,    Hourly Student Data Sheet 02/2007 Instructions
Information
RTF Word PDF  
PER-41,    Graduate Student Appointment Form 02/2007 Instructions RTF Word PDF  
PER-43,   Agreement for Limited Term Appointment 10/2004 PPM 4460.40 RTF Word PDF  
PER-44,    Funding Data Sheet 04/2009 Instructions     PDF Excel
PER-45,   9 Month Unclassified Summer Transactions 04/2008 Instructions RTF Word PDF  
PER-46,   Mid Year Base Salary Increase Form 12/2003 Included RTF Word PDF  
PER-47,   Employee Performance Review System-
Employee Performance Review
03/2006 Instructions
Presentation in PPT
Supervisor's Guide - Action Steps (PDF)
Training
RTF Word PDF  
PER-48,   Employee Performance Review System-
Employee's Annual Report of Activities
09/2004 Instructions
Presentation in PPT
Supervisor's Guide - Action Steps (PDF)
Training
RTF Word PDF  
PER-49,   Employee Peformance Review System-
Professional Development and Growth Plan
09/2004 Instructions
Presentation in PPT
Supervisor's Guide - Action Steps (PDF)
Training
RTF Word PDF  
PER-50,   Employee Performance Review System-
Performance on Goals and Projects
09/2004 Instructions
Presentation in PPT
Supervisor's Guide - Action Steps (PDF)
Training
RTF Word PDF  
PER-58,   Direct Deposit of Employee Pay 12/2007 Instructions
Information
RTF Word PDF  
PER-59,   Background Check Request Form 10/2008Background ChecksRTF WordPDF 
PER-60,   Advance Leave Agreement for Classified Employees 10/2009   RTF Word PDF  
W-4,   Employee's Withholding Allowance Certificate
Update online in Employee Self Service
2009 Included
Information
    PDF 
W-5,   Earned Income Credit 2009 Included
Information
    PDF  
W-9,   Request for Taxpayer Identification Number and Certification 10/2007 Included     PDF