Kansas Department of Administration

Employee Data Sheet - Part B

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Requestor Information
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Part B - Earnings and Deduction Data
General Deductions

United Way

(Deduction Calc. Routine=Flat Amount)

Action:
Organizational Dues
Action:
Agency Maintenance (Deduction Calc. Routine=Flat Amount)
Action:
State Leave Payment Assessment
Action:
Workers Compensation Insurance (Employer Contribution)

(Note: Leave blank if exempt)

Action:
Other General Deductions
Action:
Retirement Plans

KPERS

Plan Type:
Participation Election:

Group Term Life/Long Term Disability Insurance

Action:
Voluntary Tax Sheltered Annuity
Action:
Additional Pay
Action:

Overrides to Job Data

Applies to Pay Periods:

Charge Additional Pay To

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