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EMPLOYEE SUGGESTION INCENTIVE PROGRAM
STATE OF NORTH DAKOTA
SFN 19291 (6-2014)
Name
Job Title
Telephone Number
Date
Agency Number
230
Employing Agency
UND
President Mark Kennedy
Agency Head
PROPOSED METHOD/COST SAVING:
Submit to:
Adam Hamm, Chairperson
Suggestion Incentive Committee
Office of Insurance Commission 5th Floor
Bismarck, ND 58505
Questions:
Contact
Telephone: (701) 328-2440
Fax: (701) 328-4880
COMMITTEE EVALUATION:
Comments:
AGENCY:
Comments:
Signature
Date
Signature
Date
Approved
Not Approved
Approved
Not Approved
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