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.
ETF will, consistent with the state’s Public Records Law, provide information regarding ETF’s affairs, except for individual personal information restricted by statute.
ET-7406
Form
Active Employee /
Retiree /
Other Benefit Recipient
Wisconsin law allows ETF to release personal information to a third party if the member has first provided ETF with a valid written authorization. Use this form to authorize the release of non-medical information.
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.
The Duty Disability Insurance Program is an income replacement program. Duty disability benefits may be payable to protective occupation participants if you have been injured while performing your duties or contracted a disease due to your occupation.
The costs of providing care are high and demands on a caregiver's time are significant. Even if you are not a caregiver currently, there is a good chance you will be at some point in your life. Use the information and resources on this page to help you learn about caregiving and make a plan for financial security.
