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FTP Registration Request Form

You indicated that you are not a registered FTP filer with the State of Connecticut. In order to become registered please complete the following information.

FTP TAX & WAGE REGISTRATION FORM
 
Connecticut Registration Number:  --
Federal Identification Number: -
Employer Name: 
Employer Address: 
City, State, Zip: 
FTP Contact Name: 
Title: 
Phone Number:  --
E-mail Address: 


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

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