LAC 32:I.717

LAC 32:I.717. Petition Form

Last amended: 2016Year: 2026Length: 120 wordsOfficial source

Cite as La. Admin. Code tit. 32, pt. I, § 717

A. Nominating Petition. Nominations will be submitted on a form substantially in compliance with the following. We the undersigned OGB enrollees are retired teachers or retired school employees/retired state employees and hereby nominate ______________ for membership on the Office of Group Benefits Policy and Planning Board. Signature | Printed Name | Last 4 of SSN | Agency | Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. I hereby certify the persons signing this petition are retired teachers or other school employees/retired state employees and OGB retired enrollees as of the specified nomination date. _________________________________________________________ OGB Chief Executive Officer or his/her designated representative
LAC 32:I.717: LAC 32:I.717. Petition Form | Justis AI