This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Accumulated Sick Leave Conversion Credit (ASLCC) Programs as of December 31, 2003.
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Active Employee /
Retiree /
Other Benefit Recipient /
Board Member /
Local Employer /
State Employer
Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.