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 1997 incentive program and wish to attend one of the workshops being conducted between June 24, 1997 and July 24, 1997.
| 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 1997 Early Retirement Incentive 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 June 9, 1997 for specifics).
| _____________________________________ Authorized Division Signature |
____________________ Date |
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