State of connecticut forms

    • [DOC File]STATE OF CONNECTICUT

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      45. State any other information which you regard as pertinent. 46. Submit with this application: (a) your most recent Martindale-Hubbell Law Directory rating (b) a copy of your latest resume, and (c) a copy of your last-filed IRS Tax Return, and Connecticut State Tax Return * …

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    • [DOC File]CONNECTICUT QUITCLAIM DEED

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      State of Connecticut. County of_____ Personally appeared _____, Signer(s) of the. foregoing instrument, and acknowledged the same to be _____ free act and deed, before me. _____ Commissioner of the Superior Court. Notary Public. State of Connecticut

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    • [DOCX File]Records Disposition Authorization - Connecticut State Library

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      RECORDS DISPOSITION AUTHORIZATION. Connecticut Towns, Municipalities, and Boards of Education. Form RC-075 (Revised . 01/2010) STATE OF CONNECTICUT. Connecticut State Library

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    • [DOC File]Part I—General - Connecticut

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      Connecticut Department of Public Health Page 49 of 55. SECTION VI. APPLICATION FORMS. Connecticut Department of Public Health Page 51 of 55. SECTION VI. APPLICATION FORMS. False Claims Act (Procedure) PR-CGMS C-001. Revision: 1.0. Effective Date: 05/21/2010 SECTION V. ATTACHMENTS. SECTION V. ATTACHMENTS

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    • [DOC File]DOMESTIC PARTNERSHIP AFFIDAVIT - State of Connecticut ...

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      STATE OF CONNECTICUT. OFFICE OF THE STATE COMPTROLLER. Retirement & Benefit Services Division. 55 Elm Street. Hartford, CT 06106-1775. Domestic Partnership Affidavit. CO-1049 NEW 3/2000. Section I. Employee/Retiree Identification Employee/Retiree Name (Last, First, MI) Sex M/F Employee # Social Security # Employing Agency (Active

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    • [DOC File]State of Connecticut

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      STATE OF CONNECTICUT. AFFIRMATION OF RECEIPT OF STATE ETHICS LAWS SUMMARY Written or electronic affirmation to accompany a large State construction or procurement contract, having a cost of more than $500,000, pursuant to Connecticut General Statutes §§ 1-101mm and 1-101qq. INSTRUCTIONS: Complete all sections of the form.

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    • [DOC File]STATE OF CONNECTICUT – DEPARTMENT OF SOCIAL SERVICES

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      CONNECTICUT HOME CARE PROGRAM FOR ELDERS ELECTRONIC HEALTH SCREEN FORM. This form is for use by health care professionals only. Please type or write as neatly as possible. Please make sure information is accurate and complete.

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