CO-1301 (Rev 5/2018). First Name, Middle Initial. Employee Number. Street Address. City, State, Zip Code. Social Security Number. Employee Personal Email.
... co-debtors have agreed to share liabilities in a different manner than profits it is the individual who does not ultimately bear the liability that is ...
Send a copy of the CO-. 1301 to OSC.opeb@ct.gov and fill out the portion of the form indicating whether or not the agency was able to process the refund. NOTE:.
Q—How do I request a refund of my Retiree Health Fund Contributions? Use the Form CO-1301 to request a refund. You can find it on the Comptroller's Website,.
An employee who seeks an exemption based on availability of other retiree health coverage must provide the following documents: A completed CO-1300 application ...
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To obtain a refund, request a CO-1301 Form (Application for Refund of Retiree Health. Contributions) from the CCSU Human Resources Office.
DISCOUNT TIRE CO 1301. Call · Website · Directions. Information. Address. 8335 US HWY 31S. 46227 INDIANAPOLIS IN. Phone. +1 317-887-6882. Website. www.tires.
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Summary of S.1301 - 117th Congress (2021-2022): Promoting Physical Activity for Americans Act.