Unemployment Forms

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All required forms need to be completed and returned to the Kansas Unemployment Contact Center as indicated on the form. Before submitting the form you must complete the fillable areas indicated in light blue boxes. Once completed we suggest saving a copy on your computer or print a copy for your records.

Please be advised, if you choose:

Mail: sign the form(s) before sending to the Contact Center
Fax: print all the pages and send both sides of the form(s) if you have written information on the back of the page.

Unsworn Declaration of Payments Not Received/Identity Theft (KBEN 7105)

If you have received a Determination letter, Notice of Overpayment letter, or 1099-G form for a claim that you did not receive payment for due to identity theft, download and complete the Unsworn Declaration of Payments Not Received/Identity Theft Form (KBEN 7105). Follow the return instructions to return the completed form.

Unsworn Declaration of Payments Not Received, Identity Theft (KBEN 7105) (English)

Declaración sin Juramento de Pagos No Recibidos/Robo de Identidad (KBEN 7105 S) (Español)

Request for Disclosure of Tax/Benefit Information (K-RM 002)

Identity Verification Law Enforcement Office (KBEN 7107)

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