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Connecticut Office of the State Comptroller Forms

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Form CO-901 Income Payment Election Form - Option C - 10 to 20 Years Period Certain - Connecticut PDF

Form CO-901 Income Payment Election Form - Option C - 10 to 20 Years Period Certain - Connecticut
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Form CO-899 Income Payment Election Form - Option a - 50% Spouse - Connecticut PDF

Form CO-899 Income Payment Election Form - Option a - 50% Spouse - Connecticut
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Form CO-902 Income Payment Election Form - Option D - Straight Life Annuity - Connecticut PDF

Form CO-902 Income Payment Election Form - Option D - Straight Life Annuity - Connecticut
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Form CO-898 Application for Retirement Benefits - Connecticut PDF

Form CO-898 Application for Retirement Benefits - Connecticut
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Form CO-931 Designation of Retirement Plan Election - Non-higher Education Employment Only - Connecticut PDF

Form CO-931 Designation of Retirement Plan Election - Non-higher Education Employment Only - Connecticut
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Form CO-989 Retirement Credit Restoration Request - Reemployed Tier II Hazardous Duty Members Only - Connecticut PDF

Form CO-989 Retirement Credit Restoration Request - Reemployed Tier II Hazardous Duty Members Only - Connecticut
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Form CO-992 Retirement Credit Restoration Request - Tier Iii and Hybrid Members Only - Connecticut PDF

Form CO-992 Retirement Credit Restoration Request - Tier Iii and Hybrid Members Only - Connecticut
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Form CO-990 Request for Retirement Credit for Qualifying Leaves Without Pay (Law) - for Tier II Hazardous Duty Members Only - Connecticut PDF

Form CO-990 Request for Retirement Credit for Qualifying Leaves Without Pay (Law) - for Tier II Hazardous Duty Members Only - Connecticut
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Form CO-101 Application for Tuition Reimbursement - Connecticut PDF

Form CO-101 Application for Tuition Reimbursement - Connecticut
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Form CO-991 Retirement Credit Purchase Request for Prior Miscellaneous Services Form - Connecticut PDF

Form CO-991 Retirement Credit Purchase Request for Prior Miscellaneous Services Form - Connecticut
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Form CO-993 Retirement Credit Purchase Request for Qualifying Leaves Without Pay - Connecticut PDF

Form CO-993 Retirement Credit Purchase Request for Qualifying Leaves Without Pay - Connecticut
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Form CO-112 Travel Authorization Request - Connecticut PDF

Form CO-112 Travel Authorization Request - Connecticut
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Form CO-501 P-Card Log Sheet - Purchasing Card Program - Connecticut PDF

Form CO-501 P-Card Log Sheet - Purchasing Card Program - Connecticut
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Form CO-1068 Retirement Direct Deposit Authorization and Input Form - Connecticut PDF

Form CO-1068 Retirement Direct Deposit Authorization and Input Form - Connecticut
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Form CO-790S Analysis of Improper Payment/Internal Control Statement - Connecticut PDF

Form CO-790S Analysis of Improper Payment/Internal Control Statement - Connecticut
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Form CO-901P Income Payment Election Form - Option C - 10 to 20 Years Period Certain - Connecticut PDF

Form CO-901P Income Payment Election Form - Option C - 10 to 20 Years Period Certain - Connecticut
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Form CO-898P Application for Retirement Benefits - Connecticut PDF

Form CO-898P Application for Retirement Benefits - Connecticut
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Form CO-899P Income Payment Election Form - Option a - 50% Spouse - Connecticut PDF

Form CO-899P Income Payment Election Form - Option a - 50% Spouse - Connecticut
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Form CO-898A Application for Alternate Retirement Program Retirement Benefits - Connecticut PDF

Form CO-898A Application for Alternate Retirement Program Retirement Benefits - Connecticut
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Form CO-902P Income Payment Election Form - Option D - Straight Life Annuity - Connecticut PDF

Form CO-902P Income Payment Election Form - Option D - Straight Life Annuity - Connecticut
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Form CO-1089 Retirement Credit Restoration Request - Connecticut PDF

Form CO-1089 Retirement Credit Restoration Request - Connecticut
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Form CO-1090 Retirement Credit Purchase Request for Qualifying Leaves Without Pay - Connecticut PDF

Form CO-1090 Retirement Credit Purchase Request for Qualifying Leaves Without Pay - Connecticut
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Form CO-628B Application for Refund of Retirement Contributions - Tier Iia Members - Non Vested Only - Connecticut PDF

Form CO-628B Application for Refund of Retirement Contributions - Tier Iia Members - Non Vested Only - Connecticut
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Form CO-1082 Retiree/Annuitant Address Change Form - Connecticut PDF

Form CO-1082 Retiree/Annuitant Address Change Form - Connecticut
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Form CO-1088 Retirement Credit Purchase Request for Prior Miscellaneous Service Form - Connecticut PDF

Form CO-1088 Retirement Credit Purchase Request for Prior Miscellaneous Service Form - Connecticut
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Form CO-1209 Acknowledgement Form - Scd (Mers) - Connecticut PDF

Form CO-1209 Acknowledgement Form - Scd (Mers) - Connecticut
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Form CO-1208 Temporary Post Retirement Reemployment - Connecticut PDF

Form CO-1208 Temporary Post Retirement Reemployment - Connecticut
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Form CO-1212 Mers Application for Refund of Retirement Contributions for Non-vested Members - Connecticut PDF

Form CO-1212 Mers Application for Refund of Retirement Contributions for Non-vested Members - Connecticut
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Form CO-1200 Part B Application for Mers Retirement Benefits - Connecticut PDF

Form CO-1200 Part B Application for Mers Retirement Benefits - Connecticut
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Form CO-1201 Mers Income Payment Election Form - Option a - 50% Spouse - Connecticut PDF

Form CO-1201 Mers Income Payment Election Form - Option a - 50% Spouse - Connecticut
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Form CO-1203 Mers Income Payment Election Form - Option C - 10 or 20 Years Period Certain - Connecticut PDF

Form CO-1203 Mers Income Payment Election Form - Option C - 10 or 20 Years Period Certain - Connecticut
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Form CO-1202 Mers Income Payment Election Form- Option B - 50% or 100% Survivor - Connecticut PDF

Form CO-1202 Mers Income Payment Election Form- Option B - 50% or 100% Survivor - Connecticut
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Form CO-1204 Mers Income Payment Election Form - Option D - Straight Life Annuity - Connecticut PDF

Form CO-1204 Mers Income Payment Election Form - Option D - Straight Life Annuity - Connecticut
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Form CO-1207 Part A Application for Mers Retirement Benefits - No Social Security Coverage - Connecticut PDF

Form CO-1207 Part A Application for Mers Retirement Benefits - No Social Security Coverage - Connecticut
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Form CO-1301 Application for Refund Retiree Health Contributions - Connecticut PDF

Form CO-1301 Application for Refund Retiree Health Contributions - Connecticut
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Form CO-1310A Mid-year Enrollment or Status Change - Dependent Care Assistance Program - Connecticut PDF

Form CO-1310A Mid-year Enrollment or Status Change - Dependent Care Assistance Program - Connecticut
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Form CO-1049A Limited Durable Power of Attorney (Ldpoa) - Post Retirement - Connecticut PDF

Form CO-1049A Limited Durable Power of Attorney (Ldpoa) - Post Retirement - Connecticut
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