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dccca.org

Improving Lives

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Former Employees

Contact the Payroll Department at (785) 841-4138 or payroll@dccca.org

Former employees will have access to their pay history and W-2 information in e3.  Your login information will remain the same.  Visit Datis.com and select “Client Access” in the upper right hand corner of the page.  Address changes can also be made in the system after employment has ended.

Forms

Former Employees

TitleDate modifiedDownload
Request for Payroll Information30-06-2016 Download
Request for Duplicate IRS W-2 Form30-06-2016 Download
Former Employee Address Phone Change Form30-06-2016 Download
AFLAC WageWorks FSA Medical Claim Form30-06-2016 Download
403(b) Plan Beneficiary Designation18-01-2021 Download

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Headquarters

3312 Clinton Parkway
Lawrence, KS 66047
Phone: 785.841.4138 Fax: 785.841.5777 Email:
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