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Referred to as the Principal in and throughout this document. Name of Member (Principal) Date Directions: As you have retired: Keep a copy for your records and send the original LDPOA (both pages) directly to the Retirement Services Division, 55 Elm Street, Hartford, CT., 06106. Please note that payment election options and survivor (contingent) annuitants cannot be changed for any reason after retirement. Power of Attorney Post Retirement State Employees Retirement System NEW CO-1049A Page.

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