Kansas Department of Administration - SHARP Customer Service

SHARP Hours:
Mon-Fri: 7AM-6PM
Sat-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)

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