DOMESTIC PARTNERSHIP AFFIDAVIT - State of Connecticut ...
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 ... Insurance & Retirement Forms Company: State of Connecticut - OSC ................
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