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This form is used by employers to complete information for employees who are returning from Leave without Pay and are enrolled in the optional group life insurance program.
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How to fill out KPERS-79R

01
Begin by obtaining the KPERS-79R form from the Kansas Public Employees Retirement System website or your HR department.
02
Fill in your personal information at the top of the form, including your name, address, and Social Security number.
03
Indicate the type of retirement benefit you are applying for by checking the appropriate box.
04
Provide details regarding your employment history, including the names of your employers and the dates of service.
05
Include any additional required documentation as indicated in the form instructions.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form before submission.
08
Submit the completed KPERS-79R form to the appropriate retirement office as instructed.

Who needs KPERS-79R?

01
KPERS-79R is needed by employees of the Kansas Public Employees Retirement System who are seeking retirement benefits.
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KPERS-79R is a tax form used by the Kansas Public Employees Retirement System (KPERS) for reporting retirement benefits and contributions.
Employers who administer retirement benefits under KPERS, as well as any employee who receives retirement benefits, are required to file KPERS-79R.
To fill out KPERS-79R, gather all relevant retirement benefit information and follow the instructions provided on the form, ensuring that all fields are accurately completed.
The purpose of KPERS-79R is to report retirement contributions and distributions for tax purposes and to ensure compliance with Kansas retirement laws.
KPERS-79R must include information such as the total retirement contributions, benefits received, and any pertinent employee information related to their retirement account.
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