Kansas Department of Administration - SHARP Customer Service

SHARP Hours:
Mon-Fri: 7AM-6PM
Sat: 1PM-9PM
Sun: 1PM-6PM

SHARP Help Desk:
785-368-8000
Option 1 (SHARP)
*Listen for options.

SHARP EMPLOYEE DATA SHEET

Part A - Personal, Job & Employment Data

REQUESTOR INFORMATION

LAST NAME

FIRST NAME

EMAIL OF PERSON SUBMITTING REQUEST

TELEPHONE NUMBER OF PERSON SUBMITTING REQUEST

GENERAL INFORMATION ACTION Add Update Correct Delete

Please include any information below that will help process this request.

EMPL. ID DEPT. ID DEPT. NAME

EMPL. RCD. NBR. POSITION NBR.

PERSONAL INFORMATION - BIOGRAPHICAL DETAILS EFFECTIVE DATE

PREFIX Mr Ms Miss Mrs Dr

NAME (Last, First, MI)

BIRTHDATE DATE OF DEATH

EFFECTIVE DATE

GENDER Female Male Unknown

HIGHEST EDUCATION LEVEL

MARITAL STATUS MARITAL STATUS DATE

SOCIAL SECURITY NUMBER - DO NOT submit the SS# through e-mail. Please contact your HR Consultant if the SS# is required for a data change.

PERSONAL INFORMATION - CONTACT INFORMATION

Address Type

ADDRESS 1 ADDRESS 2

CITY STATE COUNTY COUNTRY

ZIP

PHONE NUMBERS

TYPE NUMBER

EMAIL ADDRESSES

TYPE ADDRESS

PERSONAL INFORMATION - REGIONAL

ETHNIC GROUP

DATE ENTITLED TO MEDICARE MILITARY STATUS

CITIZENSHIP PROOF 1. PROOF 2.

Eligible to work in US? Yes No

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JOB DATA - WORK LOCATION

EFFECTIVE DATE EFFECTIVE DATE SEQUENCE

ACTION CODE REASON CODE

POSITION NUMBER

JOB CODE(Defaults from Position Data)

JOB DATA - PAYROLL

TAX LOC. FICA STATUS

HOLIDAY SCHEDULE

JOB DATA - SALARY PLAN

GRADE/STEP

JOB DATA - COMPENSATION

SEQUENCE COMPENSATION RATE
(unclassified positions only when entering Comp Rate)

JOB DATA - KANSAS INFORMATION

EMPLOYMENT STATUS: Probation Permanent Trainee Not Applicable

PROBATION END DATE

BENEFIT PROGRAM PARTICIPATION

PROGRAM EFFECTIVE DATE

ANNUAL BENEFITS BASE RATE
(unclassified position only when entering Comp Rate)

BAS GROUP ID ELIGIBILITY FLD 2

BENEFIT RECORD NUMBER BENEFIT PROGRAM

KANSAS EMPLOYMENT

LENGTH OF SERVICE ADJUSTMENTS

Add Years Subtract Years

Add Months Subtract Months

Add Days Subtract Days

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TIME REPORTER DATA

PAYABLE TIME START DATE: EFFECTIVE DATE:

TIME REPORTER STATUS: Active Inactive

SEND TIME TO PAYROLL:

TIME REPORTER TYPE: Elapsed

TIME REPORTING TEMPLATE:

WORKGROUP: TASKGROUP:

TCD GROUP: (Interface Agencies Only)

EMPLOYEE REVIEW

*Please FAX a copy of the front page of the review.

ACTION Add Update Correct Delete

DEPT. ID

EMPL. ID

EMPL. NAME

EMPL. RCD. NBR.

REVIEW EFFECTIVE DATE REVIEW TYPE

FROM/TO DATE From: NEXT REVIEW DATE

To: REVIEW RATING

REVIEWER ID

COMMENTS (Number of Feedback Sessions):

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PRIOR PERIOD NON PAY AFFECTING ADJUSTMENTS

DEPT. ID

EMPL.ID

EMPL. NAME

EMPL. RCD. NBR.

Step 1: Identify which pay period needs to be adjusted.

Step 2: Enter earning code that is being adjusted along with the corresponding positive or negative value.

(Example: SCK-8 and VAC+8 when vacation should have been recorded instead of sick leave.

Step 3: Enter each code that needs adjusting on a separate line.

If more than one employee needs adjusting, please submit additional sheets.

PAY PERIOD END DATE TO BE ADJUSTED

Earn Type	WEEK 1	Sun	Mon	Tue	Wed	Thu	Fri	Sat
	WEEK 2	Sun	Mon	Tue	Wed	Thu	Fri	Sat

Earn Type	WEEK 1	Sun	Mon	Tue	Wed	Thu	Fri	Sat
	WEEK 2	Sun	Mon	Tue	Wed	Thu	Fri	Sat

Earn Type	WEEK 1	Sun	Mon	Tue	Wed	Thu	Fri	Sat
	WEEK 2	Sun	Mon	Tue	Wed	Thu	Fri	Sat

Earn Type	WEEK 1	Sun	Mon	Tue	Wed	Thu	Fri	Sat
	WEEK 2	Sun	Mon	Tue	Wed	Thu	Fri	Sat

Additional Comments

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LEAVE ACCRUALS

*This section is to be used only when there is a change in the CTLA (i.e. adjustment completed).

DEPT. ID

EMPL. ID

EMPL. NAME

EMPL. RCD. NBR.

SICK Increase or Decrease Correct Balance

Reason:

VACATION Increase or Decrease Correct Balance

Reason:

DISCRETIONARY DAY Increase or Decrease Correct Balance

Reason:

COMP TIME Increase or Decrease Correct Balance

Reason:

HOLIDAY COMP TIME Increase or Decrease Correct Balance

Reason:

MILITARY Increase or Decrease Correct Balance

Reason:

Comments:

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PART B - EARNINGS AND DEDUCTION DATA

DEPT. ID

EMPL. ID

EMPL. NAME

EMPL. RCD. NBR.

FEDERAL TAX DATA

ACTION Add Change EFFECTIVE DATE

SPECIAL TAX STATUS None Maintain taxable gross

FWT will be zero unless specified on additional withholding (exempt)

TAX MARITAL STATUS Single Married

WITHHOLDING ALLOWANCES

ADDITIONAL WITHHOLDINGS: AMOUNT OR % OF FED TAX GROSS

EARNED INCOME CREDIT

Not Applicable Single, or Married without spouse filing
Married with both spouses filing

STATE TAX DATA

ACTION Add Change EFFECTIVE DATE

STATE Resident Non Residency Statement Filed UI Jurisdiction

SPECIAL TAX STATUS None Maintain taxable gross

SWT will be zero unless specified on additional withholding (exempt)

SWT MARITAL TAX STATUS Single Married

WITHHOLDING ALLOWANCES

ADDITIONAL WITHHOLDINGS AMOUNT OR % OF STATE TAX GROSS

EXEMPT FROM SUT?

LOCAL TAX DATA

LOCALITY LOCAL WITHHOLDING ALLOWANCES

RESIDENT?

BASIC DEDUCTIONS

GROUP TERM LIFE/LONG TERM DISABILITY INSURANCE

ACTION Add Change

DEDUCTION CODE EFFECTIVE DATE

DEDUCTION END DATE

STATE LEAVE PAYMENT ASSESSMENT

ACTION Add Change

DEDUCTION CODE EFFECTIVE DATE

WORKERS COMPENSATION INSURANCE (Employer Contribution)

(Note: Leave blank if exempt).

ACTION Add Change

DEDUCTION CODE EFFECTIVE DATE

DEDUCTION END DATE

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OTHER GENERAL DEDUCTIONS

ACTION Add Change

DEDUCTION CODE EFFECTIVE DATE

ADDITIONAL DEDUCTIONS

RETIREMENT PLANS

PLAN TYPE KPERS TSA

DEDUCTION BEGIN DATES

PARTICIPATION ELECTION Elect Waive Terminate

BENEFIT PLAN ELECTION DATE

DEDUCTION END DATES

UNITED WAY:(Deduction Calc. Routine = Flat Amount)

ACTION Add Change

DEDUCTION CODE EFFECTIVE DATE

DEDUCTION END DATE

FLAT/ADDL AMOUNT GOAL AMOUNT

ORGANIZATION DUES

ACTION Add Change

DEDUCTION CODE EFFECTIVE DATE

DEDUCTION END DATE

AGENCY MAINTENANCE: (Deduction Calc. Routine = Flat Amount)

ACTION Add Change

DEDUCTION CODE EFFECTIVE DATE

DEDUCTION END DATE

FLAT/ADDL AMOUNT

SAVINGS BONDS

Note: If requesting multiple bonds, a separate page will need to be completed for each bond.

ACTION Add Deduction Change Deduction Amount Cancel Deduction

EFFECTIVE DATE

DEDUCTION CODE DEDUCTION END DATE

FLAT/ADDL AMOUNT DeductionCalc.Routine=FlatAmount

DEPENDENT/BENEFICIARY INFORMATION:

ACTION Add New Change Data

NAME (Last, First, MI)

ADDRESS 1 ADDRESS 2

CITY STATE ZIP

RELATIONSHIP SEX Male Female

SSN

ACTION Add New Change Data

NAME (Last, First, MI)

ADDRESS 1 ADDRESS 2

CITY STATE ZIP

RELATIONSHIP SEX Male Female

SSN

BOND SPECIFICATIONS:

EFFECTIVE DATE PRIORITY

DENOMINATION $100 $200 $500 $1,000 $5,000 $10,000

BOND OWNER:

OWNER NAME EMPLOYEE OR DEPENDENT

CO-OWNER NAME EMPLOYEE OR DEPENDENT

OTHER REGISTRANT None Co-owner Beneficiary

CO-OWNER OR BENEFICIARY
NAME EMPLOYEE OR DEPENDENT

PORTION OF DEDUCTED AMOUNT:

FLAT AMOUNT OR PERCENT OF DEDUCTION

EXCESS PARTIAL ALLOWED

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VOLUNTARY TAX SHELTERED ANNUITY

ACTION Add Change Cancel

DEDUCTION BEGIN DATE DEDUCTION END DATE

BENEFIT PLAN

BEFORE TAX INVESTMENT: FLAT AMOUNT Amount

PERCENT OF DEDUCTION Percent

ADDITIONAL PAY

ACTION Add Change EFFECTIVE DATE EARNINGS CODE

OVERRIDES TO JOB DATA:

ADDL SEQ NO. HOURS HOURLY RATE EARNINGS

REASON

EARNINGS END DATE GOAL AMOUNT

APPLIES TO PAY PERIODS: First Second Third

CHARGE ADDITIONAL PAY TO:

DEPARTMENT JOB CODE POSITION NO.

GL PAY TYPE POSITION POOL ID

PAYCHECK MAILING OPTIONS Mail to Home Address Mail to Mailing Address Mail to Check Address

CHECK ADDRESS:

ADDRESS 1

ADDRESS 2

CITY STATE ZIP

COUNTRY

Please remember to fill out the EMPLID,DEPTID and Name at the top of this form