KAPT Forms
We have collected all KAPT forms in one place for your convenience. To open, read and print these forms, documents, and instructions, you will need to download the free Adobe Acrobat Reader. To download the Reader, click here.
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Fall 2004 Enrollment Period Prices
Application - Apply Online or Print Application to Mail In (not available at this time)
Account Owner’s Guide to Using KAPT Benefits
Cancellation / Close Account Form
Change in College Entrance Form
Change of Beneficiary Form due to death or disability of Beneficiary
Change of Purchaser Form due to death, disability, or marital dissolution
Change of Purchaser – General Form
Disclosure Statement (not available at this time)
Employer Payroll Deduction Instructions
Employer Payroll Deduction Notice
Intent to Enroll in Out-of-State Institution
KAPT/Employer Payroll Deduction Agreement
Kentucky State Government Payroll Deduction Authorization Form
Master Agreement (not available at this time)
Payroll Deduction Letter to Employers from KAPT
Residual Benefits Request Form
Private Employer Payroll Deduction Authorization Form
