9/5/02
CONNECTICUT DEPARTMENT OF LABOR Standard Wage Rate Determination for Certain Service Workers
(As required by law please submit requests within ten (10) days of the date advertised for bid.) To receive service contract rates please fill out this form and mail to: Connecticut Department of Labor Wage & Workplace Standards Division Attention: Holly Carter 200 Folly Brook Blvd. Wethersfield, CT 06109
or you can request service contract rates through our website:
WWW.CTDOL.STATE.CT.US/WGWKSND/SEC31-57.HTM
State Agent:
Contract Name and Number (If Applicable):
Location of Work Being Performed:
Contract Description:
Duration of Contract: Start Date: Total Cost of Contract: Date Advertised to Bid: Mail Or Pick-Up
End Date:
NAME, ADDRESS, AND TELEPHONE NUMBER OF PERSON REQUESTING RATES:
Telephone Number (860)263-6549