This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.
Learn how your Social Security, Wisconsin Retirement System pension, and WDC savings account bring you closer to a secure financial retirement. A presentation hosted by the Wisconsin Deferred Compensation Program.
You and/or your insured dependents must be enrolled for both portions of Medicare (Hospital Part A and Medical Part B), when first eligible. Provide this information to ETF using this form.