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KANSAS DEPARTMENT OF Labor.DOL.ks.employers SEPARATION STATEMENTED 3109 Web (Rev. 214)INSTRUCTIONS: Complete all information related to the separation, sign and return this form with the Employer
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K-ben 3109 web rev is a form used to report information about certain financial transactions.
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Details about specific financial transactions, such as amounts, parties involved, and the nature of the transactions, must be reported on k-ben 3109 web rev.
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