State of ct gov forms

• [DOC File]Retirement Health Insurance Open Enrollment Application

  https://info.5y1.org/state-of-ct-gov-forms_1_33f23f.html

  I hereby authorize the State Comptroller to make deductions, if applicable, from my pension check and/or bill me as necessary for the medical and/or dental insurance indicated above. Retiree/Survivor Signature Date CO-744 HEALTH BENEFITS . State Of Connecticut. Office of the State Comptroller. Healthcare Policy & Benefit Services Division

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• [DOC File]CT-W4, Employee's Withholding Certificate

  https://info.5y1.org/state-of-ct-gov-forms_1_b9172a.html

  Mailing copies of completed Forms CT-W4 to: Connecticut Department of Labor. Office of Research, CT‑W4. 200 Folly Brook Blvd. Wethersfield CT 06109. For more information on DOL requirements or for alternative reporting options, visit the DOL website at www.ctdol.state.ct.us or call DOL at 860‑263‑6310. For More Information

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• [DOC File]Alternate Work Schedule Form -Connecticut's ...

  https://info.5y1.org/state-of-ct-gov-forms_1_17d884.html

  OPM ADMINISTRATIVE AND RESIDUAL ALTERNATIVE WORK SCHEDULE REQUEST FORM. Instructions: Place a check mark in the box for the Alternative Work Schedule you are requesting.

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• [DOC File]STATE OF CONNECTICUT

  https://info.5y1.org/state-of-ct-gov-forms_1_c4a195.html

  STATE OF CONNECTICUT. POLICE OFFICER STANDARDS AND TRAINING COUNCIL. CONTROLLED SUBSTANCE SCREENING REPORT. OFFICER: _____ DEPARTMENT: _____ POSTC ID # _____ (Last) (First) (MI) “To renew the certification of those police officers who have satisfactorily completed review training programs and submitted to a urinalysis drug test that screens ...

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• [DOC File]STATE OF CONNECTICUT

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  STATE OF CONNECTICUT. Property & Facilities Use Only LOG # BLDG. # REGION DATE TRADE COMPL. W.O.# DEPARTMENT OF TRANSPORTATION. Office of Property & Facilities Services. PRO-54 Rev. 2/02. SERVICE REQUEST. Date: Office Requesting Work: Tel.# & Name of Contact Person: Location of Work: Building #:

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

  https://info.5y1.org/state-of-ct-gov-forms_1_7bb0c7.html

  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 (Retired Street Address City State ZIP Domestic Partner Name (Last, First, MI) Sex M/F Social Security # Section II.

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• [DOT File]STATE OF CONNECTICUT

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  "State contract" means an agreement or contract with the state or any state agency or any quasi-public agency, let through a procurement process or otherwise, having a value of fifty thousand dollars or more, or a combination or series of such agreements or contracts having a value of one hundred thousand dollars or more in a calendar year, for ...

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• [DOCX File]Part I—General

  https://info.5y1.org/state-of-ct-gov-forms_1_c167a0.html

  "Prospective state contractor" means a person, business entity or nonprofit organization that (i) submits a response to a state contract solicitation by the state, a state agency or a quasi-public agency, or a proposal in response to a request for proposals by the state, a state agency or a quasi-public agency, until the contract has been ...

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• [DOC File]CSEC

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  PLUS, BJ’s will donate $5 to the Connecticut State Employees’ Campaign for Charitable Giving for each application processed. If you are interested in becoming a NEW member, please contact mspada@bjs.com or call Maggie Spada; 860-442-6963 (office), 860-857-2958 (cell) for immediate assistance with your new membership.

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• [DOC File]Suggested Contribution Compliance Form For a

  https://info.5y1.org/state-of-ct-gov-forms_1_4172de.html

  “Prospective state contractor”: a person, business entity or nonprofit organization that (i) submits a response to a state contract solicitation by the state, a state agency or a quasi-public agency, or a proposal in response to a request for proposals by the state, a state agency or a quasi-public agency, until the contract has been ...

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• [DOC File]CSEC

  https://info.5y1.org/state-of-ct-gov-forms_1_2d413c.html

  BJS has a special membership offer for: State of CT. Employees, families and friends . 4 Great Reasons to Join or Renew. NEW MEMBERS-Save $30 off the Basic Membership fee of $55 (now just $25.00) or BJS Rewards (2% back) – $60.00 off the fee of $110.00 (now just $50.00) Use of any BJ’s Club in the United States for 12 months

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• [DOCX File]Suggested Contribution Compliance Form For a

  https://info.5y1.org/state-of-ct-gov-forms_1_21d1ab.html

  a person, business entity or nonprofit organization that (i) submits a response to a state contract solicitation by the state, a state agency or a quasi‐public agency, or a proposal in response to a request for proposals by the state, a state agency or a quasi‐public agency, until the contract has been entered into, or (ii) holds a valid prequalification certificate issued by the ...

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• [DOC File]Consolidation of BU, Security and Other Doc

  https://info.5y1.org/state-of-ct-gov-forms_1_5e4e22.html

  Before any documentation or forms are sent into Core-CT, a call to the help desk (860) 622-2300 should be made to inform Core-CT that there is the potential need for a new business unit or consolidation of department IDs and/or business units.

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• [DOC File]State of Connecticut Department of Labor

  https://info.5y1.org/state-of-ct-gov-forms_1_2e93a2.html

  In order to improve customer service and timeliness of benefit payments for those individuals filing for temporary layoffs of up to six weeks, the Department of Labor is taking steps to diminish the use of the shutdown claim/temporary layoff filing Form UC62V by requesting that employers, instead, utilize the Separation Packet located at http ...

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• [DOCX File]Self- Employed Income Form -Connecticut's Official ...

  https://info.5y1.org/state-of-ct-gov-forms_1_6833db.html

  State of Connecticut. Department of Social Services. Self-Employment Income Verification. Self-Employment Income Verification. W-38 (Rev. 12-15) W-38 (Rev. 12-15) State of Connecticut. Department of Social Services. State of Connecticut. Department of Social Services. Page 1 of 2

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