900 SW Jackson, Suite 201
Topeka, KS 66612-1235
(785) 296-3171
UP Division 785-296-4165
KansasCash.ks.gov UnclaimedProperty.ks.gov
Kansas Voluntary Compliance Program Agreement
The intent of the Voluntary Compliance Program offered by the Kansas State Treasurer
is to bring businesses into compliance with Kansas Unclaimed Property Laws.
Business Name _____________________________________ Tax ID ___________________________
State of Incorporation _______________________ Date of Incorporation _________________________
Contact Person ________________________________________Title __________________________
Contact Phone # ___________________ Contact E-Mail _____________________________________
A copy of the completed agreement will be faxed to you. Fax # _________________________________
________________________________ (business name) intends to report and remit all unclaimed property
due to The State of Kansas for years covered in the look-back period* and the company will develop
procedures to ensure future compliance with Kansas Unclaimed Property Laws. The business will examine
their records, perform due diligence as required by law, prepare a report and deliver unclaimed property to
Kansas by _________________________________ (estimated date of delivery; date should not exceed
one year from the date of this agreement).
The administrator shall have discretion to waive the payment of penalties & interest as described in KSA
58-3967 for businesses agreeing to participate in Kansas' Voluntary Compliance Program. A business that
fails to report property as required by this agreement may be subject to the assessment of penalties &
interest. Participation in this program does not protect your business from an audit.
Laws & guidelines pertaining to the report of unclaimed funds to the State of Kansas are accessible on
our website at UnclaimedProperty.ks.gov/app/reporting-guidelines.
*Look-back period is 10 reporting years. If you have questions about this period please contact our office.
Return the signed agreement to: Unclaimed Property - Holder Services
900 SW Jackson, Suite 201
Topeka, KS 66612-1235
Authorized Business Representative ________________________________ Date ______________
KS Unclaimed Property Representative ______________________________ Date ______________
Contact the holder department at k[email protected]s.gov or 785-291-3173 with questions.
