State of Connecticut

Attachment "C-I" 

(Tier I)
"Reservation List"

To: Retirement & Benefit Services Division
55 Elm Street, Hartford, CT 06106

From:    ___________________________________;    _______________________________________;
Designated Agency Contact Agency
________________________; ___________________________
Telephone Number Fax Number

The following Tier I 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.

Tier I

Employee Name  Employee Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
_____________________________________ ___________________
Designated Agency Contact Signature Date

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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 2003 ERIP memo

Return to Index of 2003 Retirement Division Memoranda
Return to Index of Comptroller's Memoranda
Return to Comptroller's Home Page