Wisconsin Retirement System disability annuitants may be required to show each year that they remain disabled, and this is the physician's report ETF uses for that recertification. ETF sends it to the annuitant when recertification is due, and the physician confirms continued disability based on an examination within 12 months of signing.
The annuitant's physician completes the physician portion and signs it. ETF sends the form to the annuitant, who is responsible for getting it completed and back to ETF on time.
Download the current version from the source each time; forms change without notice.
Recertification Medical Report
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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ETF may require annual medical evidence that an approved disability annuitant remains disabled. Annual recertification can continue as long as the annuitant receives monthly disability payments or up to normal retirement age, and ETF sends the form when it is due.
If the physician indicates the annuitant can perform the duties of any occupation whose annual pay would exceed the earnings limit, the disability retirement benefit is terminated, and the WRS account is re-established as if no disability benefit had been received.