Fillable 450 Columbus Boulevard, Suite 702 Animal Control Officer (State of Connecticut/Department of Administrative Services)

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450 Columbus Boulevard, Suite 702 Animal Control Officer (State of Connecticut/Department of Administrative Services)

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10/30/19
State of Connecticut
Department of Agriculture
450 Columbus Boulevard, Suite 702
Hartford, CT 06103
(860) 713-2506
Animal Control Officer Continuing Education Credit
For Calendar Year 2019
CGS Section 22-328
(f) Each animal control officer shall complete a minimum of six hours of continuing education related to the duties
of an animal control officer in each calendar year.
TRAINING
INSTRUCTOR NAME
DATE
TOTAL HOURS
I hereby certify that I have completed a minimum of six hours of continuing education as required by CGS Section 22-328
_________________________________________________ ______________________________________
Printed Name of Animal Control Officer Municipality
_________________________________________________ _________________________________
Signature of Animal Control Officer Date
Name of Police Chief, First Selectman or other Appointing Authority
Title
Municipality
Signature of Appointing Authority
Date of Signature
Upload this form with your online Animal Control Officer Certification renewal
DO NOT SUBMIT THIS FORM BY MAIL
Office Use Only Approved by: Date:
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450 Columbus Boulevard, Suite 702 Animal Control Officer (State of ConnecticutDepartment of Administrative Services)

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Completed 13 August 2020

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