| Number | Title | Description | Audience |
|---|---|---|---|
| ET-4814 | Local Employer Verification of Health Insurance Coverage | Local employers, complete to submit verification for an employee's or local-paid retiree's health insurance coverage. |
Active Employee, Retiree, Local Employer |
| ET-5306 | Request for Disability Premium Waiver | Employers should submit this form when first aware that an insured employee is unable to work due to illness or injury and will be unable to perform any work or to engage in any occupation for an indefinite period. |
Local Employer, State Employer |
| ET-5351 | Income Continuation Insurance Employer Statement | Employer report to verify eligibility for an income continuation insurance claim. |
Local Employer, State Employer |
| ET-5901 | Income Continuation Insurance Report of Employment and Earnings | Employers, complete this form to notify ETF of a claimant’s change in work status and/or earnings paid to the individual after the elimination period. |
Local Employer, State Employer |
| ET-6329 | Employer Certification of Eligibility for Public Safety Officer Survivor Benefit Tax Exemption | Employer certification that a WRS annuity or lump-sum payment made to the survivor of the member named in this form may be eligible for an income tax exemption. |
Local Employer, State Employer |
| ET-7118a | Service to Our Members 2017 | Snapshot of ETF-administered services in a year. |
Active Employee, Retiree, Local Employer, State Employer |
| ET-7118b | Service to Our Members 2018 | Snapshot of ETF-administered services in a year. |
Active Employee, Retiree, Local Employer, State Employer |
| ET-7368 | Certification of Plan-to-Plan Transfer to Buy Permissive Service Credit | Plan certification is required for any transfer of pre-tax funds from a retirement plan to the Wisconsin Retirement System for the purpose of buying permissive service credit. |
Local Employer, State Employer |
| ET-7374 | WRS Benefits for New and Mid-Career Employees | Use this flyer to promote WRS benefit presentations. |
Local Employer, State Employer |
| ET-8106 | Department of Employee Trust Funds Public Records Notice | ETF will, consistent with the state’s Public Records Law, provide information regarding ETF’s affairs, except for individual personal information restricted by statute. |
Active Employee, Retiree, Local Employer, State Employer |