Employers, complete to designate an employee as the agent representing the employer in matters pertaining to the programs administered by the Department of Employee Trust Funds.
Events happen in life and can affect your coverage. Make sure you know when you lose your coverage and what steps to take to make sure you can keep it.
ET-4560
Form
Active Employee /
Local Employer /
State Employer
Once an employee returns to work with his or her pre-military leave of absence employer, the employer is required to submit this form along with a copy of the appropriate military paperwork.
A benefit may be paid during your lifetime or upon your death. You or your beneficiary must make sure to follow the correct steps to receive your benefit.
