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Summary
Update your name, address, or gender on file with ETF. Please be sure to provide your date of birth, your Social Security number or ETF ID, and sign the form before submitting.
Please note:
- Your full mailing address is important so you will continue to receive valuable information about your Wisconsin Retirement System benefits. Be sure to include any apartment, room, lot, or suite number. Include your P.O. Box number if mail is not delivered to your street address.
- Only the member or authorized representative may update their information using this form. If you are a representative signing on behalf of the member, ETF must have a copy of your approved power of attorney on file. ETF will not complete an address change from an unauthorized third party.
- You may use this form to make changes to your insured dependent’s name and gender. However, to update beneficiary information, including beneficiary contact information, you must submit a new beneficiary designation form.
Submit the form to ETF.