Form Da 184 PDF Details

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

QuestionAnswer
Form NameForm Da 184
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesDIrect Deposit(1) ks dept of administration smart deposit form

Form Preview Example

State of Kansas

AUTHORIZATION FOR DIRECT DEPOSIT OF EMPLOYEE PAY

Department of Administration

AND/OR EMPLOYEE TRAVEL

Division of Accounts and Reports

DA-184 (Rev. 07-2010)

(Please print or type all information)

 

 

 

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:

 

 

New Enrollment

 

SELECT ONE OR BOTH

 

 

 

 

 

 

 

SHARP

 

 

Account Change

EFFECTIVE DATE

 

 

 

 

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

 

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*

 

 

Checking

 

 

 

 

 

International ACH Bank

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

 

 

 

 

 

Use for SMART

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cancel for SMART

 

 

Cancel for SHARP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

DA-184 (Rev. 07-2010)

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*

 

 

Checking

 

 

 

 

 

 

 

International ACH Bank

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

 

 

 

 

 

 

 

Use for SMART

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cancel for SMART

 

 

 

 

 

 

Cancel for SHARP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FINANCIAL INSTITUTION INFORMATION

NAME

BRANCH

CITY

STATE

ZIP

ACCOUNT DISTRIBUTION DATA:

PRIORITY #

BALANCE

TRANSIT #

ACCOUNT #

% NET PAY/AMOUNT*

Checking

 

 

 

 

International ACH Bank

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

 

 

 

 

Use for SMART

 

 

 

 

 

 

 

 

Cancel for SMART

 

 

 

Cancel for SHARP

 

 

 

 

 

 

 

 

FINANCIAL INSTITUTION INFORMATION

NAME

BRANCH

CITY

STATE

ZIP

ACCOUNT DISTRIBUTION DATA:

PRIORITY #

BALANCE

TRANSIT #

ACCOUNT #

% NET PAY/AMOUNT*

Checking

 

 

International ACH Bank

 

 

 

 

 

 

Savings

 

 

Use for SMART

 

 

 

 

 

 

Cancel for SMART

 

Cancel for SHARP

 

 

 

 

 

 

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