Robin with HealthPartners Health Plan Major Health Systems Bellin HealthThedaCareAurora Health CareBayCare ClinicFroedert & the Medical College of Wisconsin Full Service Areas Brown County Calumet County Fond Du Lac County Green Lake County Kewaunee County Manitowoc County Marinette County Menominee County Oconto County Outagamie County Shawano County Waupaca County Waushara County Winnebago County Limited Service Areas Florence County Marquette County
ET-4944 Form Active Employee / Retiree / Other Benefit Recipient Limited Power-of-Attorney for Appeal Designate an attorney-in-fact to act in your stead for an appeal to ETF.