Kansas Insurance Commissioner

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Kansas Firefighter Relief Act

• Firefighter Relief Act Online Handbook (pdf) - statutes, regulations, sample bylaws/forms
  • FRA Frequently Asked Questions

• Firefighter Survivor's Assistance Handbook (pdf)

• FRA Best Practices (pdf)

• FRA Check Expenditure Ledger Sample (xls)

• 2010 Online Submission Training Program
  • Electronic Online Submission (ppt)
  • Hard Copy Submission (ppt)

• 2009 Forms
  • 2009 Financial Statement Hard Copy Version (pdf)
  • Treasurer Name Change (doc)
  • Authorization for Electronic Deposit (pdf)
  • W-9 Form (pdf)

• Redetermination Procedure and Forms
  • Redetermination Calculation Estimate
  • Requirements for Requesting a Redetermination (doc)
  • Affidavit in Support of Application for Redetermination (doc)
  • Certification of Population and Assessed Tangible Property Valuation (doc)

• Annual Firefighter Relief Act Distributions
• 2010 Firefighter Relief Act Seminar (ppt)

Kansas Insurance Department • 420 SW 9th Street • Topeka, Kansas 66612-1678 • E-mail: commissioner@ksinsurance.org
Phone: 785-296-3071 • Toll-free: 1-800-432-2484 (in Kansas only) • Fax: 785-296-7805