ET-1908
Form Local Employer / State Employer

Employer Attestation For Documentation Received

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.

Employer News
Oct 3, 2023 11:00am

ICI Claims: List State of Wisconsin as Employer

When filing claims with ETF’s ICI administrator, The Hartford, employees should advise The Hartford that their employer is the State of Wisconsin—not their actual employer (such as City of ABC or State Agency XYZ).