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Connecticut State Department of Revenue Services

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Required Forms

Return these to HR as soon as possible via email to DRSHRAPPS@ct.gov

  • VPN Request Form
  • DRS Inspection - Disclosure of Tax Information
  • DAS ID-Parking-Key Card Request Form

Bring the forms below to your HR Orientation on your start date

  • W4 - federal
  • CT-W4
  • CO-931 Designation of Retirement Plan
  • CO-999 Designation of Retirement Beneficiary
  • CO-1040 Direct Deposit
  • DRS Personal Information
  • FBI Noncriminal Justice Form
  • FBI Privacy Rights Form
  • I-9 Employment Eligibility
  • Health Enhancement Enrollment Form
  • CT W-4 Exemption Acknowledgement - (if applicable)
  • CO-1300B Retiree Healthcare Fund
  • Ethics/Financial interest
    (NOTE:  this is for - salary groups EX and MP, complete only when directed to do so by HR)
  • CO-1304 Healthcare Fund Exemption
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