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Get Co 1068 2016-2024

VICES DIVISION 55 ELM STREET HARTFORD, CONNECTICUT 06106-1775 Phone: 860-702-3480 Fax: 860-702-3489 Save Time! Save Money! Go Green! Direct deposit guarantees your retirement funds will be available on the last business day of each month, eliminates the need for delivery by mail and the probability of lost, stolen or misplaced checks. INSTRUCTIONS: If you are a new retiree, this form must be completed, signed and forwarded to the Retirement Services Division with your application for retirement.

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