Laserfiche WebLink
Appendix A — Sample Data Request Part I <br />Actuarial Valuation Data Request <br />AGENCY <br />July 1, 2013 Actuarial Valuation <br />Bickmore requests detailed information in an effort to ensure the accuracy of our analytical <br />results. Please note that each of the following questions and requests are required before <br />Bickmore will be able to issue the AGENCY's report. Therefore, this process can be greatly <br />simplified and shortened by providing a complete data request. If any assistance is needed <br />with this process please feel free to call or email. <br />[an <br />se address the re ort to: <br />Name: <br />Title: <br />Entity: <br />Address: <br />City, State / Zip: <br />Phone: <br />Fax: <br />Email: <br />If the address above is a PO Box, would you please provide your street address as well for <br />mailing report? <br />We will automatically send a signed electronic copy of our report. <br />In an effort to be more ecologically friendly, we prefer to ask: <br />Would you like to receive hard copies as well? <br />If yes, our default is 3 bound, 1 unbound hard copy, double -sided reports. <br />Please let us know if the AGENCY has a different preference. <br />Are there any deadlines we should be aware of while compiling the results? <br />The following data request is organized into sections as follows: <br />L Confirm or correct information we have already learned regarding the AGENCY's <br />OPEB <br />II. Questions that have not been discussed for this valuation <br />III. Requests for documentation <br />IV. Discussion of discount rate <br />V. Review and confirmation of Table 3A from the AGENCY's previous OPEB valuation <br />Please return this form to: Bickmore <br />Attn: Bickmore Employee Email: bickmoreee @bickmore.net Phone: 503. 419 -04xx <br />