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ES-4104.1 Rev. 10-06 STATE OF KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES ECONOMIC & EMPLOYMENT SERVICES Work Experience Program Agreement (Addendum) Public Agency Name of Agency Private Non-profit

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How to fill out es-41041:

1. Start by reading the instructions provided with the form. Familiarize yourself with the purpose and requirements of es-41041 before beginning to fill it out.
2. Gather all the necessary information and documents needed to complete the form. These may include personal details, employment information, financial statements, and any supporting documents specific to the purpose of the form.
3. Begin filling out the form by entering your personal details accurately. This includes your full name, address, contact information, and any other requested identification information.
4. Move on to the specific sections of the form that require additional information. Follow the instructions provided and provide the requested details in a clear and concise manner.
5. If there are any sections that you are unsure about or require clarification, refer to the instructions or seek assistance from a professional who can help you accurately complete those sections.
6. Double-check all the information you have entered on the form to ensure accuracy and completeness. Review each section carefully and make any necessary corrections or additions.
7. Once you have completed filling out the form, sign and date it as required. Ensure that all the necessary signatures are provided in the designated areas.
8. Make copies of the completed form and any supporting documents for your records before submitting it. It is always advisable to keep a copy of all completed forms for future reference.
9. Submit the filled-out es-41041 form to the relevant authority or organization as instructed. Follow any additional submission guidelines or requirements mentioned in the instructions.
10. Maintain a record or proof of submission, such as obtaining a receipt or tracking number, to ensure that your form has been successfully submitted.

Who needs es-41041:

1. Individuals or businesses who are required to file certain financial statements or reports as per legal or regulatory requirements.
2. Organizations or individuals involved in specific financial transactions that call for the completion of es-41041 as part of the documentation process.
3. Professionals, such as accountants or tax consultants, who assist individuals or businesses with financial reporting or compliance and need to fill out es-41041 on behalf of their clients.

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