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State of Connecticut Office of the State Comptroller Healthcare Policy & Benefit Services Division Retirement Health Insurance Unit 165 Capitol Ave. Hartford, CT 061061775 www.osc.ct.govRETIREE HEALTH

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What is connecticut office of form?

It is a form used to report office locations in Connecticut.

Who is required to file connecticut office of form?

Any business or organization with office locations in Connecticut.

How to fill out connecticut office of form?

The form can be filled out online or submitted by mail with the required information.

What is the purpose of connecticut office of form?

To ensure businesses are accurately reporting their office locations in the state.

What information must be reported on connecticut office of form?

The address, contact information, and business activities conducted at each office location.

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