Number Title Description Audience
ET-2319 Rehired Annuitant

WRS annuitants who have met all terms and conditions associated with having a valid termination and meeting the minimum break in service requirement may return to work for a WRS employer.

 Retiree, Local Employer, State Employer
ET-2331 Health Insurance Application/Change for Retirees

Retirees, enroll in health insurance or change your coverage.

 Retiree, Other Benefit Recipient, Local Employer, State Employer
ET-2340 Automatic Premium Conversion Waiver/Revocation of Waiver

Complete this form to waive your participation in automatic premium conversion, or to revoke a waiver of premium conversion that you filed previously.

 Active Employee, Local Employer, State Employer
ET-2366 Income Continuation Insurance Application--Local Employee

Complete and then submit to your employer to apply for income continuation insurance.

Active Employee, Local Employer
ET-2440 County Jailer Election of Protective or General Category Status

Local county employers, please distribute this form to your jailers so they can record their decision to be either a general category employee or a protective category employee for WRS benefit purposes.

Active Employee, Local Employer
ET-2500 Termination Checklist For Retiring State Employees

A checklist for state employers to use when an employee is terminating due to retirement.

 State Employer
ET-2500D Termination Checklist Due to Employee Death

A checklist for state employers to use when an employee is terminating due to retirement.

 State Employer
ET-2500l Termination Checklist For Local Employees

A checklist for local employers to use when an employee is terminating employment.

 Local Employer
ET-2500s Termination Checklist For State Employees

A checklist for state employers to use when an employee is terminating for a reason other than retirement.

 State Employer
ET-2533 Employee Transaction Report

Employers may be required to report prior year adjustments to employee hours, earnings or employee-paid required contributions by completing and submitting this report.

 Local Employer, State Employer