Kansas Department of Administration

Document Center

Image of a Redeemed State Check (Warrant)

To request an image of a redeemed State Check (Warrant), please access the Kansas State Treasurer's Website for the form to process the request. This form is found in the 'Kansas Vendor Payment Information' section.

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Electronic Forms - Completed Through DocuSign

Select the desired form below to complete electronically through DocuSign. Use of the form does not require a DocuSign account.

DA-115 Agency Authorized Officials & Approved Out of State Travel

DA-115P Agency Authorized Signature Payroll

DA-181 Sharp Arrearage Exclusion Request

DA-191 Employee Organization Application for Payroll Membership Dues

DA-192 Membership Dues Deduction Agreement

DA-193 EE Payroll Deduction Authorization

DA-194 Notice of Bi-Weekly Dues Certified by Employee Organization

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Accounting Forms

AM-1 InterUnit Transfer

AR-95 Escheated Check Claim

AR-97 Payment of Claims for Goods or Services Purchased in Prior Fiscal Year

AR-98 Personal Injury or Property Damage or Loss Claim Against the State

DA-6 - Reissue Payment Request Form

DA-7 - Payment Cancellation Request Form

DA-22 Agreement to Reimburse Moving Expenses

DA-29 Request to Pay Expenses of Out-of-State Applicants

DA-32 Annual Report - Accounts and Other Receivables

DA-32 Accounts Receivable - SAMPLE for PM

DA-32A Accounts and Other Receivables

DA-32B Long Term Receivables

DA-34 Subsistence Extension Request

DA-37 Request for Reduced Subsistence Allowance

DA-47 Real Estate Cover Sheet

DA-60 Payment Voucher Authorization

DA-61 Cash Receipts Voucher

DA-62 Trust Fund Ledger Accounts

DA-63 Monthly Reconciliation of Financial Institutional Accounts

DA-65 Reconciliation of Trust Fund

DA-66 Financial Institution Certification

DA-68 Application / Report on Canteens, Work Therapy Funds, Canteen Funds and Benefit Funds

DA-68 Exhibit B - SAMPLE Income Statement

DA-68 Exhibit C - SAMPLE Statement of Revenues, Expenses, and Changes in Fund Net Position

DA-68 Exhibit D - SAMPLE Revenue, Expenses, and Fund Balance Statements

DA-71 Petty Cash Fund Application / Maintenance

DA-73 Reconciliation of Petty Cash Fund

DA-74 Change Fund Maintenance - Application to Establish Change Fund

DA-74A Check Cashing Change Fund Application / Maintenance

DA-75 Reconciliaton of Change Fund

DA-75A Reconciliation of Check Cashing Change Fund

DA-76 Record of Cash "Long" or "Short"

DA-78 Petty Cash Fund Log

DA-82 Capital Asset Supplemental Information (Purchase before July 1, 2025)

DA-87 Capital Asset Reporting Log

DA-88 Statement of Forgery Affidavit

DA-115 Agency Authorized Officials & Approved Out-of-State Travel Eff Oct 2022

DA-121 Travel Expense Detail (optional use)

DA-127 Mileage vs. Rental Comparison (optional use)

DA-152 Checkbook Record - Imprest Fund

DA-153 Monthly Imprest Fund Reconciliation

DA-154 Imprest Fund Maintenance

DA-164 Employee Use Fund Application

GL_F003 - Department ID Change Request Form

GL_F009 - Program Code Change Request Form

GL-F016 - GL Encumbrance Request Form

GL-F026 Budget Date Change Request Form

GL_FTBD - Fund Budget Unit Change Request Form

TM-21 - SMART Supplier Maintenance Form

Temporary Deposit Form

Cash Deposit Form CM

GL_017A Open Encumbrance Extension Exemption Request

GL_017B Open Encumbrance Extension Exemption Request

DA-195 Professional Development Repayment Agreement

DA-82 Capital Asset Supplemental Information (Purchase after July 1, 2025)

[External Link] W-4 - Employee's Withholding Certificate Provided by the IRS

Please refer to the Internal Revenue Service (IRS) website for the W-4 form.

[External Link] W-9 - Request for Taxpayer Identification Number (KS)

Please refer to the Internal Revenue Service (IRS) website for the W-9 form.

Payroll Forms

DA-6P - Paycheck Stop Payment Request

DA-115P - Agency Authorized Signatures Payroll

DA-171 - Housing, Food Service and Other Employee Maintenance Policy

DA-179 - SHARP Maximum Arrears Payback (Internal Agency Use Only)

DA-181 - Exclusion Request Form

DA-182 - SHARP Paycheck Reprint Request (Internal Agency Use Only)

DA-191 - Employee Organization Application for Payroll Deduction of Membership Dues

DA-192 - Membership Dues Deduction Agreement

DA-193 - Authorization for Payroll Deduction Employee Organization Membership Dues

DA-194 - Notice of Bi-Weekly Dues Certified by Employee Organization

SHARP Pay Dates 2014 to 2039

SHARP Pay Dates 1996 to 2013

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