Get Report Of Member Status - Kpers

The Report Of Member Status - KPERs is an essential form utilized by employers to enroll new members or report changes in a member's employment status. This guide provides step-by-step instructions to assist you in filling out the form accurately and efficiently online.

Follow the steps to complete the form seamlessly.

1. Press the ‘Get Form’ button to access the Report Of Member Status - KPERs and open it for editing.
2. Begin with Part A – Member Information. Indicate the reason for completing the form by marking one of the choices: Enroll a New Member, Transfer Membership, Return to Payroll, or Report Dual Employment.
3. If enrolling a new member, provide the employee’s membership date (MM/DD/YYYY) in the designated field.
4. Enter the Social Security Number in the given format (XXX-XX-XXXX).
5. Fill in the name of the member (First, Middle Initial, Last) in the specified area.
6. If applicable, include the member’s previous name.
7. Input the member’s date of birth (MM/DD/YYYY).
8. Select the member’s gender by marking either Male or Female.
9. Provide the member’s mailing address, including city, state, and zip code.
10. Enter the employer's name and the KPERS Employer Number.
11. Indicate the Department Number associated with this member.
12. Select the appropriate Membership Category from the available options.
13. Input the date the member began employment in a KPERS-covered position.
14. For employees on military leave, enter the specific dates of the leave without pay. Be sure to include copies of necessary discharge papers.
15. If the employee is a State of Kansas Correctional Employee, select their group (A or B) if applicable.
16. Proceed to Part B – Service Information and list the beginning and ending dates of service for the current and any former positions held by the member.
17. Utilize the comments section to provide any additional relevant information.
18. Move to Part C – Designated Agent Statement. Ensure the designated agent signs and dates the form to certify that the provided information is true.
19. Once all sections are completed accurately, save changes to your document, and you can choose to download, print, or share the Report Of Member Status - KPERs.

Complete and submit the Report Of Member Status - KPERs online to ensure accurate member enrollment and status reporting.