The following list contains forms for member use. You may also search forms by program or by ET- number.
Employer forms are not included in this list.
Many documents on this site are in Adobe Acrobat PDF format. Download a free version. Adobe Reader does not allow users to save completed fillable PDFs to their computer. Refer to the Adobe Web site for more information on fillable PDFs.
Accumulated Sick Leave Credit Conversion Program (ASLCC) & Supplemental Health Insurance Fact Sheet (ET-8929)
Addendum-Deductible HMO-Deductible Standard Plan Program Option 4 (ET-2158)
Addendum-Deductible HMO-Deductible Standard PPP Program Option 5 (ET-2159)
Addendum-Traditional HMO-Standard PPP Program Option 3 (ET-2157)
Additional Contributions (ET-2123)
Administrative Appeal Process (ET-4943)
Affidavit of Domestic Partners (ET-2371)
Affidavit of Termination of Domestic Partners (ET-2372)
Annuity Fact Sheet (ET-8940)
Appeal Form (ET-4938)
Applying For Your Retirement Benefit (ET-4106)
Authorization to Disclose Medical Information (ET-7414)
Authorization to Disclose Non-Medical Individual Personal Information (ET-7406)
Automatic Premium Conversion Waiver/Revocation of Waiver (ET-2340)
Beneficiary Designation (ET-2320)
Beneficiary Designation (alternate form) (ET-2321)
Benefit Information Request (ET-7301)
Buying Creditable Service (ET-4121)
Buying Other Governmental Service (ET-2207)
Calculating Your Retirement Benefits (ET-4107)
Canceling Variable Participation (ET-2313)
Capital Expenditure Worksheet (ERA Program)
Change in Status Form (ERA Program)
Choosing an Annuity Option (ET-4117)
Comprehensive Annual Financal Report (ET-8501)
Conversion Information - Life Insurance (ET-2306)
Converting Your Group Life Insurance to Pay Health or Long-Term Care Insurance Premiums (ET-2325)
Death Benefits (ET-6101)
Deferred Compensation Program Fact Sheet (ET-8904)
Direct Deposit Authorization (ET-7282)
Disability Retirement Benefits Folder (ET-5107)
Domestic Partner Benefits (ET-2166)
s. 40.65 Duty Disability and Survivor Benefits (ET-5103)
Election to Participate in the Variable Trust Fund (ET-2356)
Employee Reimbursement Accounts Fact Sheet (ET-8900)
Employer Options for Providing Increased Retirement Benefits (ET-1137)
ERA Benefits Booklet 2012
ETF Insurance Complaint Form (ET-2405)
Evidence of Insurability (ET-2305)
FBMC Authorization for Release of Information
Group Health Insurance (ET-4112)
Group Health Insurance Application/Change Form (ET-2301)
Group Health Insurance Fact Sheet (ET-8902)
Group Life Insurance After You Terminate Employment (ET-4104)
Group Life Insurance Fact Sheet (ET-8903)
Group Life Insurance Plan Monthly Rates-2010-2011 (ET-2164)
How Divorce Can Affect Your WRS Benefits (ET-4925)
How Participation in the Variable Trust Affects Your WRS Benefits (ET-4930)
How Part-Time Employment Affects Your Benefits (ET-2121)
Income Continuation Insurance Application-State (ET-2307)
Income Continuation Insurance Application-Local (ET-2366)
Income Continuation Insurance-Local (ET-2129) There will be a premium holiday in 2012 for local ICI participants.
Income Continuation Insurance-Local Fact Sheet (ET-8931)
Income Continuation Insurance Plan Language-State and Local Government
Income Continuation Insurance-State (ET-2106)
Income Continuation Insurance-State Fact Sheet (ET-8918)
Income Tax Withholding Election (ET-4310)
Calculate and Print Your Income Tax Withholding Election (Retirees Only)
Information for Retirees (ET-4116)
Investment Earnings Distribution Report (ET-2124)
It's Your Benefit Newsletter (ET-7116)
It's Your Choice 2012 - State Employees, Annuitants and Continuants and Graduate Assistants - Decision Guide (ET-2107d-12)
It's Your Choice 2011 - State Employees, Annuitants and Continuants and Graduate Assistants - Decision Guide (ET-2107d-11)
It's Your Choice 2010 - State Employees, Annuitants and Continuants and Graduate Assistants - Decision Guide (ET-2107d-10)
It's Your Choice 2012 - State Employees, Annuitants and Continuants and Graduate Assistants - Reference Book (ET-2107r-12)
It's Your Choice 2011 - State Employees, Annuitants and Continuants and Graduate Assistants - Reference Book (ET-2107r-11)
It's Your Choice 2010 - State Employees, Annuitants and Continuants and Graduate Assistants - Reference Book (ET-2107r-10)
It's Your Choice 2012 - Wisconsin Public Employees (Local Government Employees and Annuitants) - Decision Guide (ET-2128d-12)
It's Your Choice 2011 - Wisconsin Public Employees Local Government Employees and Annuitants) - Decision Guide (ET-2128d-11)
It's Your Choice 2010 - Wisconsin Public Employees Local Government Employees and Annuitants) - Decision Guide (ET-2128d-10)
It's Your Choice 2012 - Wisconsin Public Employees (Local Government Employees and Annuitants) - Reference Book (ET-2128r-12)
It's Your Choice 2011 - Wisconsin Public Employees Local Government Employees and Annuitants) - Reference Book (ET-2128r-11)
It's Your Choice 2010 - Wisconsin Public Employees (Local Government Employees and Annuitants) - Reference Book (ET-2128r-10)
Letter of Medical Need (ERA Program)
Life Insurance Application/Cancellation/Refusal (ET-2304)
Limited Power-of-Attorney for Appeal (ET-4944)
Living Benefits Brochure (ET-2327)
Local Annuitant Health Progam - 2011 (ET-9019)
Long-Term Disability Insurance Folder (ET-5108)
Maximum Voluntary Contributions Worksheet (ET-2566)
Medical Expense Account Continuation Election Form (ET-1518)
Medicare Eligibility Statement (ET-4307)
Military Service Credit (ET-4122)
Name/Address Change (ET-2815)
Notice of Death for Spouse or Dependent Child (ET-6303)
Ombudsperson Program Brochure (ET-8935)
Ombudsperson Services Fact Sheet (ET-8934)
Personal Use Statement (ERA Program)
Pharmacy Benefits Program Fact Sheet (ET-8933)
Rapid Refund Authorization Form (ERA Program)
Reimbursement Request Form (ERA Program)
Request to Copy or Inspect Medical Information (ET-2421)
Retirement Annuity Option Change Application (ET-4319)
Retirement Estimate Request (ET-4207)
Separation Benefits (ET-3101)
Sick Leave Conversion Credit Brochure (ET-4132)
Sick Leave Escrow Application (ET-4305)
Sick Leave Re-enrollment Application (ET-4317)
Standard Plan - State Employees (ET-2112)
State Medicare Plus (ET-4113)
QDRO - Foreign Jurisdiction Order to Divide WRS Benefits (ET-4935)
QDRO - Military Service Certification and Affidavit (ET-4322)
QDRO - Order to Divide WRS Benefits (ET-4926)
Tax Liability on WRS Benefits (ET-4125)
Telephone Message Center (ET-7348)
USERRA Certification (ET-4560)
Federal USERRA Notice
Waiver of Part-Time Elected Service (ET-4303)
Wisconsin Public Employers Deductible Standard Plan Booklet (ET-2161)
Wisconsin Public Employers Deductible Standard PPP Plan Booklet (ET-2162)
Wisconsin Public Employers Deductible SMP Plan Booklet (ET-2163)
Wisconsin Public Employers Group Life Insurance Plan (ET-2101)
Wisconsin Public Employers SMP Plan Booklet (ET-2165)
Wisconsin Public Employers Standard Plan Booklet (ET-2131)
Wisconsin Public Employers Standard PPP Plan Booklet (ET-2160)
Wisconsin Retirement System Fact Sheet (ET-8901)
WRS News (ET-7402)
Your Benefit Handbook (ET-2119)
