CareSource offered in partnership with GHC of Eau Claire Major Health Systems Advocate Aurora Health CareThedaCareBayCare ClinicChildren's Hospital and Health System Full Service Areas Brown County Fond Du Lac County Green Lake County Kewaunee County Manitowoc County Marinette County Milwaukee County Outagamie County Ozaukee County Shawano County Sheboygan County Washington County Waukesha County Waupaca County Waushara County Winnebago County
ET-4322 Form Active Employee / Retiree QDRO - Military Service Certification and Affidavit Wisconsin law requires the WRS participant to complete this form and submit it ETF when a portion of the participant’s account is awarded to an alternate payee via a Qualified Domestic Relations Order (QDRO).
