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KPERS79C Rev. 1/17. OPTIONAL GROUP LIFE INSURANCE CONTINUATION. Instructions on page 2. ? General Information This form must be submitted tithe Retirement System within 60 days of the last day you
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01
Open the KPER-79R Rev - KPER form.
02
Read the instructions carefully to understand the requirements.
03
Provide your personal information, such as name, address, and social security number.
04
Fill in the relevant employment details, including your employer's name, address, and employment dates.
05
Indicate your membership type, such as regular, affiliated, or reinstated.
06
Specify if you are applying for disability retirement or a refund of contributions.
07
Complete the beneficiary information section if applicable.
08
Sign and date the form.
09
Submit the completed form to the Kansas Public Employees Retirement System (KPERS) according to the provided instructions.

Who needs kpers-79r rev - kpers?

01
Employees working for the state of Kansas who are eligible for KPERS benefits.
02
Individuals who want to apply for disability retirement or a refund of their KPERS contributions.
03
Public sector employees in Kansas who are members of KPERS and need to update their information.
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The kpers-79r rev - kpers form is a document used for reporting retirement information.
Employees who are members of the Kansas Public Employees Retirement System (KPERS) are required to file kpers-79r rev - kpers.
To fill out kpers-79r rev - kpers, individuals need to provide personal and retirement information as requested on the form.
The purpose of kpers-79r rev - kpers is to ensure accurate reporting of retirement information for members of the Kansas Public Employees Retirement System (KPERS).
On kpers-79r rev - kpers, individuals must report their personal information, employment history, and retirement contributions.
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