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Click ‘Get Form’ to open the RD-109NR in the editor.
In Section A, enter your legal name, Social Security Number (SSN), Account ID, occupation, and daytime phone number.
For Section B, indicate your resident status by checking the appropriate box. If you were a part-year resident, provide the dates of residency.
In Section C, if not using the standard 260 days for work calculation, explain your method and enter total days worked everywhere and actual days worked outside the city.
Calculate the percentage of days worked outside the city by dividing Line 2 by Line 1. Enter your gross wages from your W-2 in Line 4.
Complete Section D by entering any severance pay included in compensation and the date of separation.
In Section E, list records that support your calculations for days worked outside of Kansas City.
Finally, fill out Section F with employer information required for verification before processing your refund request.

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