Submission 

• Paper: Letter (8.5in x 11in)
• Copies to print: 2

• This form doesn't need to be submitted to the Department of Revenue.
• Employers must keep a copy for their records.

Notes

• If there's any change at all that needs to be reported, employees must file a new Form K-4C within 10 days.
• The percentage indicated on Form K-4C doesn't determine the amount of Kansas wages or other compensation to be reported on the federal W-2.