State of Connecticut Office of the State Comptroller 2003 EARLY RETIREMENT INCENTIVE PROGRAM memo Attachment C-HD

State of Connecticut

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 2003 Early Retirement Incentive Program and wish to attend one of the workshops being conducted between March 26, 2003 and April 23, 2003.

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

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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

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