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Special Membership Service Form - the State of Connecticut Website

Special Membership Service Form - the State of Connecticut Website 2025

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The document is a form for Hourly Paid Certified Teachers to request credit for pension purposes from the Connecticut Teachers' Retirement Board. It outlines the necessary information and conditions under which teachers can purchase service credit, including requirements for valid teaching certificates and details about their employment. The form must be completed by both the teacher and the Connecticut school district where the service was performed.

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