If you've ever applied for a job, you know that one of the first things you have to do is fill out a job application. This document asks for your personal information, such as your name and address, as well as your work experience and education. You may also be asked to provide references. Although it's important to include all this information on the application, there are some questions that are not required but can help employers make a decision about hiring you. One of these is the Form Da 184. The Form Da 184 is an optional questionnaire used in Taiwan to assess a potential employee's foreign language ability. The form has 10 questions that ask about your proficiency in reading, writing, speaking, and understanding Mandarin Chinese. It takes about 10 minutes to complete and provides employers with an idea of how fluent you are in the language. Even if you don't speak Mandarin Chinese very well, it's still worth completing the form because it shows that you're willing to try a
Question | Answer |
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Form Name | Form Da 184 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | DIrect Deposit(1) ks dept of administration smart deposit form |
State of Kansas |
AUTHORIZATION FOR DIRECT DEPOSIT OF EMPLOYEE PAY |
Department of Administration |
AND/OR EMPLOYEE TRAVEL |
Division of Accounts and Reports |
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(Please print or type all information) |
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EMPLOYEE INFORMATION
DEPARTMENT ID
EMPLOYEE ID
NAME (Last, First, MI)
SECTION A: ENROLLMENT OR CHANGE AUTHORIZATION
(Complete this section for new enrollments, financial institution or account changes.) An employee may select up to a maximum of one account for SMART and a maximum of nine accounts for SHARP. The employee should complete additional pages of the authorization form as needed. If the direct deposit may result in the transfer of funds to a financial agency outside the U.S., the 'International
ACH Bank' checkbox should be turned 'on'.
CHECK IF ADDITIONAL PAGES ARE ATTACHED
SELECT ONE: |
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New Enrollment |
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SELECT ONE OR BOTH |
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SHARP |
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Account Change |
EFFECTIVE DATE |
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SMART Travel and Expense (mark ONLY one account in the Use for SMART box)
FINANCIAL INSTITUTION INFORMATION
NAME
BRANCH
CITY
STATE
ZIP
ACCOUNT DISTRIBUTION DATA:
PRIORITY # |
BALANCE |
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TRANSIT # |
Checking |
International ACH Bank |
ACCOUNT # |
Savings |
Use for SMART |
% NET PAY/AMOUNT* |
Cancel for SMART |
Cancel for SHARP |
FINANCIAL INSTITUTION INFORMATION
NAME
BRANCH
CITY
STATE
ZIP
ACCOUNT DISTRIBUTION DATA:
PRIORITY # |
BALANCE |
TRANSIT #
ACCOUNT #
% NET PAY/AMOUNT*
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Checking |
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International ACH Bank |
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Savings |
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Use for SMART |
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Cancel for SMART |
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Cancel for SHARP |
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I authorize the State of Kansas to initiate accounting transactions to deposit my employee pay and/or travel related payment directly to the account(s) indicated above and to correct any errors which may occur from these transactions. I also authorize the Financial Institution to post these transactions to these accounts. This authorization is to remain in force until the State of Kansas receives written notice from me to cancel or change this authorization.
* SHARP only |
EMPLOYEE SIGNATURE |
DATE |
SECTION B: CANCELLATION
(Complete this section to cancel the Direct Deposit Authorization) (See your payroll section for Skycard information)
EFFECTIVE DATE
I hereby cancel the authorization for the State of Kansas to originate direct deposit entries to my checking/savings account(s).
EMPLOYEE SIGNATURE |
DATE |
Employee Copy
State of Kansas
Department of AdministrationPAGE OF
Division of Accounts and Reports
SECTION A: ENROLLMENT OR CHANGE AUTHORIZATION (CONTINUED)
FINANCIAL INSTITUTION INFORMATION
NAME
BRANCH
CITY
STATE
ZIP
ACCOUNT DISTRIBUTION DATA:
PRIORITY # |
BALANCE |
TRANSIT #
ACCOUNT #
% NET PAY/AMOUNT*
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Checking |
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International ACH Bank |
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Savings |
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Use for SMART |
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Cancel for SMART |
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Cancel for SHARP |
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FINANCIAL INSTITUTION INFORMATION
NAME
BRANCH
CITY
STATE
ZIP
ACCOUNT DISTRIBUTION DATA:
PRIORITY # |
BALANCE |
TRANSIT #
ACCOUNT #
% NET PAY/AMOUNT*
Checking |
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International ACH Bank |
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Savings |
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Use for SMART |
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Cancel for SMART |
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Cancel for SHARP |
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FINANCIAL INSTITUTION INFORMATION
NAME
BRANCH
CITY
STATE
ZIP
ACCOUNT DISTRIBUTION DATA:
PRIORITY # |
BALANCE |
TRANSIT #
ACCOUNT #
% NET PAY/AMOUNT*
Checking |
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International ACH Bank |
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Savings |
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Use for SMART |
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Cancel for SMART |
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Cancel for SHARP |
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I authorize the State of Kansas to initiate accounting transactions to deposit my employee pay or travel related payment directly to the account(s) indicated above and to correct any errors which may occur from these transactions. I also authorize the Financial Institution to post these transactions to these accounts. This authorization is to remain in force until the State of Kansas receives written notice from me to cancel or change this authorization.
*SHARP only |
EMPLOYEE SIGNATURE |
DATE |
Employee Copy