Completing the Adjustment to                             The K-CNS 111 is to amend a previously filed Quarterly Wage Report &  
Quarterly Wage Report, K·CNS 111                         Unemployment Tax Return,K-CNS 100         . Complete this adjustment in  
                                                         duplicate and keep one copy for your records. 
This report can be filed online at: 
www.KansasEmployer.gov                                   NOTE: If no tax is due, you may fax the adjustment to 785-291-3425. 
                                                         If you have questions about the completion of this report, you may call your  
                                                         closest unemployment tax representative. 
                                                         You may also email KDOL.UITax@ks.gov.

                                    Instructions for completing K-CNS 111

1. Your employer name and address.                                      11.a  List the same excess wage figure shown on K-CNS 100, 
                                                                              Column 7.
2. Calendar year and quarter. Submit a separate 
   adjustment for each quarter. Identify quarters as follows:           11.b  List the correct excess wage figure that should have 
   Quarter - Year                                                             been reported on K-CNS 100.
   Quarter Ending March 31  ................... 1-20XX 
   Quarter Ending June 30 ...................... 2-20XX                 12.a  The total of Column 10.a for all pages (If there are
   Quarter Ending September 30  ............ 3-20XX                            multiple pages necessary, please complete a K-CNS 
   Quarter Ending December 31  ............. 4-20XX                           112). 

3. Brief reason why this adjustment is necessary.                       12.b  The total of Column 10.b for all pages.

4. Employer account number.                                             12.c  The total of Column 11.a for all pages.
 
5. Tax Rate.                                                            12.d  The total of Column 11.b for all pages.

6. Current page number out of total number of continuation              13.   Difference in total wages reported and correct total 
   pages.                                                                     wages.
                                                                              (a) 12.a minus 12.b 
7. Signature of owner, partner or corporate officer. 
   Adjustment must be signed and dated.                                 14.   Difference in excess wages reported and correct excess 
                                                                              wages.  
8. Social Security number of individual workers.                              (a) 12.c minus 12.d
   If an individual worker’s Social Security number was 
   incorrectly reported, list incorrect Social Security number          15.   Net difference in taxable wages.
   on one line and the correct number on the line below.                      (a) Line 13 plus or minus Line 14. 

9. Individual worker’s name (Last, First and Middle Initial             16.   Total amount of taxes due or overpaid. 
   List only those workers for which corrections are                          Select either Underpayment or Overpayment.
   necessary for either an individual worker’s total wages                    If taxes are due, enter the amount here. If the amount 
   (K-CNS 100, Column 6) or an individual worker’s excess                     due is $5 or greater, accompany this adjustment with a 
   wages (K-CNS 100, Column 7).                                               remittance, payable to the Kansas Employment Security 
                                                                              Fund. If taxes are overpaid, enter the amount here. If the 
10.a  List the same wage figure shown on K-CNS 100,                           amount overpaid is $5 or greater, a credit will be issued 
   Column 6.                                                                  which can be applied to future taxes due, or you may 
                                                                              request a refund. For a refund you must complete and 
10.b  List the correct wage figure that should have been                      submit an IRS Form W-9 with your written request for 
   reported on K-CNS 100                                                      refund.

   For  help in completing this tax return or filing an adjustment to a prior return, you may call your local unemployment tax office.
                           A list of offices is at https://www.dol.ks.gov/employers/directory-of-ui-tax-offices  
                                    Assistance is also available by email: KDOL.UITax@ks.gov