ETF complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity.
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.
25ET-2180
Brochure
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
