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. | ||||
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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 |
La. Admin. Code tit. 32, § I-717