Form K-CNS032 "Employer Representative Authorization" - Kansas

What Is Form K-CNS032?

This is a legal form that was released by the Kansas Department of Labor - a government authority operating within Kansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the Kansas Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form K-CNS032 by clicking the link below or browse more documents and templates provided by the Kansas Department of Labor.

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Download Form K-CNS032 "Employer Representative Authorization" - Kansas

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KANSAS DEPARTMENT OF LABOR
MAIL:
Kansas Department of Labor
www.dol.ks.gov
UI Tax Contributions
EMPLOYER REPRESENTATIVE AUTHORIZATION
401 SW Topeka Blvd.
Topeka, KS 66603-3182
K-CNS 032 (Rev. 12-17)
FAX:
(785) 291-3425
EMAIL:
Submit
Request will be denied if any item is incomplete.
Employer Serial Number: ______________________
Employer: ______________________________________________________________________________________________________
Physical address of business in KANSAS. If no physical address, store front or business location exists in KANSAS, you must indicate
where in KANSAS you have workers performing a service. Do NOT use a Post Office Box number.
Business location
Job site
Company representative residence
Other (
): _______________________________________________________________________________________
explain
______________________________________________________________________________________________________________
Address (Do NOT use PO Box number)
City
State
ZIP
Representative retained to represent you: _____________________________________________________________________________
(
)
Representative’s phone: __________________________________ Representative’s email: _____________________________________
Indicate which Kansas unemployment insurance reports you have delegated the authority to receive. Provide the mailing address for the
delegated reports.
Employer’s Quarterly Wage Report and Unemployment Tax Return, K-CNS 100
Name: ___________________________________________________________________________________________________
Address: __________________________________________________________________________________________________
City, State, ZIP: ___________________________________________________________________________________________
Annual Experience Rating Notice, K-CNS 404, and Annual Notice of Benefit Charges, K-CNS 403
Name: ___________________________________________________________________________________________________
Address: __________________________________________________________________________________________________
City, State, ZIP: ___________________________________________________________________________________________
Last Employer, Base Period and all other Benefit and Appeal Claim Notices
Name: ___________________________________________________________________________________________________
Address: _________________________________________________________________________________________________
City, State, ZIP: __________________________________________________________________________________________
_________________________________________________________________________________ _____________________________
Owner, partner, corporate officer, LLC member/manager signature
Date (mm/dd/yyyy)
(
)
___________________________________________________________
__________________________________________________
Email
Phone
More information about filing reports as an authorized employer representative is found at www.KansasEmployer.gov.
UNEMPLOYMENT TAX CONTRIBUTIONS
401 SW Topeka Blvd., Topeka, KS 66603-3182 • Phone (785) 296-5027 • Fax (785) 291-3425 • KDOL.UITax@ks.gov
KANSAS DEPARTMENT OF LABOR
MAIL:
Kansas Department of Labor
www.dol.ks.gov
UI Tax Contributions
EMPLOYER REPRESENTATIVE AUTHORIZATION
401 SW Topeka Blvd.
Topeka, KS 66603-3182
K-CNS 032 (Rev. 12-17)
FAX:
(785) 291-3425
EMAIL:
Submit
Request will be denied if any item is incomplete.
Employer Serial Number: ______________________
Employer: ______________________________________________________________________________________________________
Physical address of business in KANSAS. If no physical address, store front or business location exists in KANSAS, you must indicate
where in KANSAS you have workers performing a service. Do NOT use a Post Office Box number.
Business location
Job site
Company representative residence
Other (
): _______________________________________________________________________________________
explain
______________________________________________________________________________________________________________
Address (Do NOT use PO Box number)
City
State
ZIP
Representative retained to represent you: _____________________________________________________________________________
(
)
Representative’s phone: __________________________________ Representative’s email: _____________________________________
Indicate which Kansas unemployment insurance reports you have delegated the authority to receive. Provide the mailing address for the
delegated reports.
Employer’s Quarterly Wage Report and Unemployment Tax Return, K-CNS 100
Name: ___________________________________________________________________________________________________
Address: __________________________________________________________________________________________________
City, State, ZIP: ___________________________________________________________________________________________
Annual Experience Rating Notice, K-CNS 404, and Annual Notice of Benefit Charges, K-CNS 403
Name: ___________________________________________________________________________________________________
Address: __________________________________________________________________________________________________
City, State, ZIP: ___________________________________________________________________________________________
Last Employer, Base Period and all other Benefit and Appeal Claim Notices
Name: ___________________________________________________________________________________________________
Address: _________________________________________________________________________________________________
City, State, ZIP: __________________________________________________________________________________________
_________________________________________________________________________________ _____________________________
Owner, partner, corporate officer, LLC member/manager signature
Date (mm/dd/yyyy)
(
)
___________________________________________________________
__________________________________________________
Email
Phone
More information about filing reports as an authorized employer representative is found at www.KansasEmployer.gov.
UNEMPLOYMENT TAX CONTRIBUTIONS
401 SW Topeka Blvd., Topeka, KS 66603-3182 • Phone (785) 296-5027 • Fax (785) 291-3425 • KDOL.UITax@ks.gov