Ct retiree 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Retiree/Annuitant Number in field (1). This is your former employee number, which helps identify your records.
3. Next, input your Social Security Number in field (2) to ensure accurate processing of your address change.
4. In field (3), clearly print your full name as it appears on official documents.
5. Provide your new mailing address in field (4), including the street number and name. Ensure this is typed or written legibly.
6. Fill in the city, state, and ZIP code for your new mailing address in field (5).
7. If you have a different physical home address, complete fields (6) and (7) accordingly.
8. Enter your phone number in field (8) and email address in field (9) for contact purposes.
9. Indicate if this is a permanent address change by selecting 'YES' or 'NO' in field (11).
10. Decide whether you want to stop your direct deposit by answering 'YES' or 'NO' in field (12).
11. Sign the form in field (13) and date it in field (14) before submitting.

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