DIS - Kansas Department of Revenue 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the person examined in the designated field. Ensure accuracy as this information is crucial for processing.
3. Next, input the Social Security Number and address, including street, city, state, and zip code. Double-check for any typos to avoid delays.
4. Respond to question 1 regarding disability qualification by selecting 'YES' or 'NO'. This is essential for determining eligibility.
5. In section 2, describe the nature of the disability clearly and concisely. Provide as much detail as necessary to support your claim.
6. Indicate when the condition was originally diagnosed in section 3. Accurate dates help validate your claim.
7. The physician must complete their certification by signing and providing their name, business address, and phone number. Ensure all fields are filled out correctly.
8. Finally, review all entries for completeness before submitting your form along with your Homestead Claim, Form K-40H.

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