KSU1-12 Bank Draft Approval for State of Kansas Employee Health Care Program for Non-State Groups
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Each month this form is to be signed by the county/district director and the board/governing body chair, treasurer and secretary to approve the bank draft for the premiums for the State of Kansas Employee Health Care Program for Non-State Groups. File a copy with the monthly financial records and mail a copy with the monthly audit information to the K-State Research and Extension Business Office.
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Please direct questions about this form to Extension Operations 785-532-5790. Thank you.