Considering Retirement?

Back to Home

Why are you retiring?

PLEASE TELL US YOUR STORY about how you have served the public, and why you are now considering retirement.

Your name

We need your name and contact information -- but we can keep it confidential if you want us to.

Title

First Name *

Last Name *

Suffix

Should we keep your name confidential?

No, you can use my name
Yes, please keep my name confidential

Agency where you work (or worked)

'Agency where you work (or worked)' is required

How do (did) you help the public?

'How do (did) you help the public?' is required

Tell your story here!

Why are you retiring, or considering retirement?

Are any of the bills which are now pending in the Legislature
affecting your decision? How?

Your email address

Your phone number

- ###

#### *