Employer 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.
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.
ET-4925
Brochure
Active Employee /
Retiree /
Other Benefit Recipient
The direct links to these old “On-line Network” applications are no longer after July 10, 2024: On-line Network for Employers and Health Plans (ONE and ONHP), and Contract Administrators/Vendors Request for Proposal (RFP).
Your WRS account information is confidential, and no one can receive information about or make changes to your account unless authorized. You can authorize another person to make changes to your account by submitting a financial power of attorney document to ETF.