Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.
A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.
Active Employee /
Retiree /
Board Member /
State Employer
The results of the three-year investigation from 1/1/2021-12/31/2023 of experience of the Wisconsin Sick Leave Conversion Credit Programs are presented in this report.