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For Employer: If self-employed, provide Name of Business. Example: Dave’s Painting Other Examples: Retired, Unemployed, Student, Homemaker

For Principal Occupation: If self-employed, provide Job Description. Example: Painter Other Examples: Retired, Unemployed, Student, Homemaker

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For a definition of terms, go to http://www.ct.gov/seec/lib/seec/forms/certificationforms/definition_of_terms_statewide_01042016.pdf

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