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Complete and return this form with your application.

The Comprehensive Annual Financial Report of the Wisconsin Department of Employee Trust Funds for the year ended December 31, 2018 provides comprehensive information about ETF, the Wisconsin Retirement System, and other benefit programs administered by ETF.

If your WRS account with ETF is eligible for a lump-sum payment, the following is important information to consider before you apply for your benefit.

The Comprehensive Annual Financial Report of the Wisconsin Department of Employee Trust Funds for the year ended December 31, 2019 provides comprehensive information about ETF, the Wisconsin Retirement System, and other benefit programs administered by ETF.

The Annual Comprehensive Financial Report of the Wisconsin Department of Employee Trust Funds for the year ended December 31, 2020 provides comprehensive information about ETF, the Wisconsin Retirement System, and other benefit programs administered by ETF.

Apply for a separation benefit. A separation benefit is a one-time, lump-sum payment consisting only of employee contributions, additional contributions (if applicable), and accumulated interest.

Survivor's 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.

The Annual Comprehensive Financial Report of the Wisconsin Department of Employee Trust Funds for the year ended December 31, 2021 provides comprehensive information about ETF, the Wisconsin Retirement System, and other benefit programs administered by ETF.

This guide demonstrates step-by-step procedures to help you enroll in your ETF-administered insurance benefits in My Insurance Benefits.

There are certain times throughout the year when you may enroll in health and supplemental insurance benefits, or change your coverage.