Fillable STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF ADMINISTRATION OFFICE OF PERSONNEL ADMINISTRATION ONE CAPITOL HILL PROVIDENCE, RI 02908 - hr ri

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CS-377 (Rev - 03/09) STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF ADMINISTRATION OFFICE OF PERSONNEL ADMINISTRATION ONE CAPITOL HILL PROVIDENCE, RI 02908 Check Appropriate Box(es): Certification of Municipal Service Certification of Elected Municipal Service INSTRUCTIONS: This form is used to verify service as a municipal employee and/or elected municipal official in order to determine a current...
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