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.
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
Audited schedules as of, and for the year ended, December 31, 2023 are now available for state and local employers participating in the WRS, state and local employers participating in the Group Life Insurance Program, and state employers participating in the SHICC Program.