Legislative Centralized Response Team (CRT) · 2018. 11. 16. · Response from CRT CRT...

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Legislative Centralized Response Team (CRT) Unemployment Constuent Contact Request (Internal Use Only) DATE: Legislator Contact Informaon: Legislator: ________________________________ Office Contact Name _____________________________ Legislator Phone: __________________________ Contact Phone Number: ___________________________ Legislator E-mail: ___________________________ Contact Fax Number: _____________________________ Constuent Contact Informaon: Constuent Name: _________________________ Leer ID# (if known) ______________________________ Constuent Phone: _________________________ Constuent Address:________________________________________________________________________ Please explain your concern below: Response from CRT CRT Representave: ___________________________________________Date:_________________________ TED is an equal opportunity employer/program. RICK SNYDER GOVERNOR WANDA STOKES TIA DIRECTOR STATE OF MICHIGAN TALENT INVESTMENT AGENCY Unemployment Insurance Michelle Beebe, Senior Deputy Director 3024 W. Grand Blvd., Detroit, MI 48202 www.michigan.gov/uia Authorized by MCL 421.1 et seq. UIA 1522 (Rev. 2-17)

Transcript of Legislative Centralized Response Team (CRT) · 2018. 11. 16. · Response from CRT CRT...

Legislative Centralized Response Team (CRT)

Unemployment Constituent Contact Request (Internal Use Only)

DATE:

Legislator Contact Information:Legislator: ________________________________ OfficeContactName _____________________________LegislatorPhone: __________________________ ContactPhoneNumber: ___________________________LegislatorE-mail: ___________________________ ContactFaxNumber: _____________________________Constituent Contact Information:ConstituentName: _________________________ LetterID#(if known) ______________________________ConstituentPhone: _________________________ ConstituentAddress:________________________________________________________________________

Please explain your concern below:

Response from CRT

CRTRepresentative:___________________________________________Date:_________________________

TEDisanequalopportunityemployer/program.

RICK SNYDER GOVERNOR

WANDA STOKES TIA DIRECTOR

STATE OF MICHIGANTALENT INVESTMENT AGENCY

Unemployment InsuranceMichelle Beebe, Senior Deputy Director3024 W. Grand Blvd., Detroit, MI 48202

www.michigan.gov/uia

Authorized byMCL 421.1 et seq.

UIA 1522(Rev. 2-17)