Attachment "C-HD"
(Hazardous Duty Tier I & Tier II)
"Reservation List"
To: Retirement & Benefit Services Division
55 Elm Street, Hartford, CT 06106
| From: | ___________________________________; | _______________________________________; |
| Designated Agency | Contact Agency | |
| ________________________; | ___________________________ | |
| Telephone Number | Fax Number |
The following (Hazardous Duty Tier I & Tier II) employees are eligible for early or normal retirement under the 2003 Early Retirement Incentive Program and wish to attend one of the workshops being conducted between March 26, 2003 and April 23, 2003.
Hazardous Duty
Tier I & Tier II
| Employee Name | Employee Number |
| 1. | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| 7. | |
| 8. | |
| 9. | |
| 10. | |
| _____________________________________ | ___________________ |
| Designated Agency Contact Signature | Date |
--------------------------------------------------------------------------------------------------------------
To be completed by the Retirement & Benefit Services Division:
The above named individuals have been scheduled to attend the 2003 Early Retirement Incentive Program Workshop on _________________________. Please advise these employees of their reserved date and of the information and materials they should bring with them to make the workshop meaningful (refer to Retirement & Benefit Services Division Memorandum dated March 7, 2003 for specifics).
| _____________________________________ | ____________________ |
| Authorized Division Signature | Date |
Return to Index of 2003 Retirement Division
Memoranda
Return to Index of Comptroller's Memoranda
Return to Comptroller's Home Page