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Technical Support for Forms:
Kathy Kugle (785) 532-1885
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Division of Human Resources
Kansas State University
103 Edwards Hall
Manhattan, KS 66506-4801
785-532-6095 (fax)
8 a.m. - 5 p.m. (CST)
Contact HR
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  4. Hourly Student Forms

Hourly Student Forms

Refer to hourly student transactions for personnel transactions. Refer to Entitlements for non-benefits eligible employees for benefits forms listed.

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Alphabetical List of Hourly Student Forms
FORMS by NameDatedInstructions
or Information
Accident/Injury Report (PER-17) (Workers' Compensation) (do not use after April 30, 2014) 02/2010 PPM 4820.100 RTF Word PDF  
Accident Report (1101-A) (Workers' Compensation) (new form can be used now and will be the only form accepted starting May 1, 2014) 10/2013 PPM 4820.100     PDF  
Authorization to Release Information 10/2004 PPM 4010 RTF Word PDF 
Direct Deposit of Employee Pay (PER-58) 12/2010 Instructions
Employee Separation Checklist (PER-24) 02/2008 PPM 4950 RTF Word PDF 
Employment Eligibility Verification (I-9) 03/2013 Instructions    PDF 
KSU Foreign National Tax Information Form (PER-15) 04/2014 Visa Classifications RTF Word PDF 
Hourly Student Data Sheet (PER-40) 02/2013 Instructions
HRIS/PeopleSoft Access Form   Instructions (pdf)
HRIS Roles
NEW Online HRIS Access Termination Form           Online
Intellectual Property Agreement   Information RTF Word PDF  
Kansas Employee's Withholding Allowance Certificate (K-4) 09/2007 Information     PDF  
Mileage Reimbursement Form (Workers' Compensation)   Information RTF Word PDF  
Non-Resident Alien Forms   Non-Resident Alien Employment       
Paycheck Stop Payment Request (DA-6P) 05/2006 Information    PDF Excel
Payroll Transfer Form (PER-44)04/2009Instructions   PDFExcel
Student Application for Human Resources   Student Jobs RTF Word PDF  
Student Employee Performance Review (PER-29) 05/2004 PPM 4720#130 RTF Word PDF  
Substance Abuse Policy Affirmation Form 5/2007 Information RTF Word PDF  
Workers' Compensation Accident/Injury Report (PER-17) 07/2009 PPM 4820.100 RTF Word PDF  
Workers' Compensation Accident Report (1101-A) 10/2013 PPM 4820.100     PDF  
Workers' Compensation Mileage Reimbursement Form   Information RTF Word PDF  
Work Permit
Request for International Student On-Campus Work Permit
  Work Permits       Online
W-4 Employee's Withholding Allowance Certificate
OR Update online in Employee Self Service
2014 Included
Withholding form
Kansas Employee's Withholding Allowance Certificate (K-4)
09/2007 Information     PDF  
W-9 Request for Taxpayer Identification Number and Certification 8/2013 Included    PDF