Accounting Employment Information Request Form

  • Section I

  • Section II

    (full time = over 35 hours/week; part time = less than 35 hours/week)
  • Section III

  • Section IV

  • NAICS (North American Industry Classification System) This is a six-digit number to classify businesses by type of activities in which they are engaged.
  • MM slash DD slash YYYY
  • Section V

  • MM slash DD slash YYYY
  • Please contact Lisa Nicoletti with any questions. Email: Tel: 860-258-7852 Fax: 860-563-4877