Attachment to MEMORANDUM NO. 2003-12
REQUEST FOR INFORMATION
EMPLOYEES RETURNING TO STATE SERVICE
FROM ACTIVE MILITARY SERVICE
Employee Name: ___________________________________________________________
Employing Agency: _________________________________________________________
Agency Contact Person: _____________________________________________________
Date of Return to State Service: _______________________________________________
SEND TO: | Office of the State Comptroller |
Policy Services Division | |
55 Elm Street, Room 219 | |
Hartford, Connecticut 06106 | |
Attn: Christine Grodzki | |
Fax #: (860) 702-3441 |
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