Conn. Agencies Regs. § 7-427-1
The following form shall be used by a municipality accepting participation in Fund A or Fund B other than by collective bargaining:
(Name of municipality), a municipality as defined in section 7-425 of the general statutes as amended, accepts part II of chapter 113 of the general statutes, as amended, for participation in Fund (insert A or B) of the Connecticut municipal employees' retirement fund as to
(insert such of the following as are applicable:)
all departments
the following departments: (naming them)
except the members of the following collective bargaining units which have already been included in said municipal employees' retirement fund by collective bargaining agreement: (naming the units)
the following elective officers (giving titles)
(name of library), a free public library which receives part or all of its income from municipal appropriation
but this acceptance shall not repeal, amend or replace, or affect the continuance of, any pension system established in this municipality by or under the authority of any special act.
Conn. Agencies Regs. § 7-427-1