Kansas Form K Ben 3211 PDF Details

If you are a resident of the state of Kansas, you will want to be familiar with Kansas Form K Ben 3211. This is the document that you will need to complete in order to apply for state benefits. Knowing what is required and how to complete the form accurately can help ensure that your application is successful. In this blog post, we will provide an overview of what information is needed on Form K Ben 3211 and how to submit it. We will also highlight some of the benefits that may be available through the state benefit program.

Below is the data about the file you were looking for to fill in. It will tell you the time it should take to fill out kansas form k ben 3211, exactly what fields you need to fill in and some additional specific details.

QuestionAnswer
Form NameKansas Form K Ben 3211
Form Length1 pages
Fillable?Yes
Fillable fields30
Avg. time to fill out6 min 19 sec
Other nameskansas unemployment application form, kdolforms dol ks gov, dol ks gov ui forms, kansas unemployment application

Form Preview Example

KANSAS DEPARTMENT OF LABOR

www.dol.ks.gov

REASONABLE ASSURANCE STATEMENT – EMPLOYER

K-BEN 3211-Web (Rev. 11-17)

MAIL: Unemployment Contact Center

P.O. Box 3539

Topeka, KS 66601-3539

FAX: (785) 296-3249

EMAIL: Submit

If you do not reply, an eligibility determination will be made based on the information provided by the FODLPDQW

If you are replying late, please indicate why you are late. This request is not a substitute document for the base period employer notice. An Employer Notice (K-BEN 44/45) will be mailed to you if you are a base period employer.

You must complete, sign and return the Employer Notice to request reconsideration of a potential benefit charge, if you are eligible.

Attach any documentation you want considered regarding this issue.

Claimant name:

 

 

 

Social Security number:

 

Claimant’s last day worked (mm/dd/yyyy):

 

 

 

 

 

Is the claimant still considered an employee of the company?

YES

NO

 

 

If NO, date employment ended (mm/dd/yyyy):

 

 

 

 

 

Reason for the separation:

 

 

 

 

 

 

Is school currently in session?

YES

NO If NO, why?

 

 

 

 

Beginning date of break:

 

Ending date of break:

 

 

 

Does the claimant have reasonable assurance of returning to work for you when school resumes?

YES

NO

____________________________________________________

Complete this section if claimant does have reasonable assurance of returning:

Date the individual will return to work:

Position the individual held before school closed:

Position the individual will hold when school resumes:

____________________________________________________

Complete this section for Bus Drivers with reasonable assurance of returning:

 

 

Does the claimant’s job involve transporting for non-school-related functions or activities?

YES

NO

If YES, how often has claimant transported for non-school-related functions or activities?

 

 

Dates:

 

 

Amount of gross wages for each trip: $

 

 

Function or activity for each trip:

 

 

____________________________________________________

Are you licensed as an educational institution through the Kansas Department of Education?

YES

NO

Are you funded through a school district?

YES

NO

 

 

Signature: __________________________________________________________ Date (mm/dd/yyyy):

 

Title:

 

Phone number:

 

 

KANSAS UNEMPLOYMENT CONTACT CENTER

Kansas City Area (913) 596-3500 • Topeka Area (785) 575-1460 • Wichita Area (316) 383-9947 • All Other Areas (800) 292-6333

How to Edit Kansas Form K Ben 3211 Online for Free

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