Attachment "B"
Person Designated as Agency Contact for Information on 1997 Early Retirement Incentive Program Workshops
Please return to: | State Comptroller |
Retirement & Benefit Services Division | |
55 Elm Street | |
Hartford, CT 06106 | |
Att: Enid Sanabria | |
Fax: 702-3489 | |
Agency Name: | |
Agency Address: |
This agency has designated the following staff member to handle reservations for our employees who are eligible for the early retirement incentive program and who wish to attend one of the scheduled workshops.
Designated Contact's Name: | |
Title: | |
Telephone Number: | |
Fax Number: | |
___________________________ | |
Authorized Agency Signature | |
___________________________ | |
Title | |
___________________________ | |
Date |
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