Connecticut Department of Labor
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Request Information

If you would like additional information about the Department of Laborís Shared Work program and would like a staff person to contact you directly, please complete the form below with any specific details about your situation and a staff person will contact you within 3 business days of your request.

Contact Information

Employer Name:
Address 1:
Address 2:
Zip Code:
Contact Person:
E-Mail Address:
Phone Number:
Brief description of situation:
Additional comments:

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200 Folly Brook Boulevard, Wethersfield, CT 06109 / Phone: 860-263-6000

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