GTLI Forms

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Important Note: Photo ID required for most forms

Be advised that using the forms below, you may be required to provide a copy of your photo ID along with the form.

  • Read the instructions carefully to ensure the correct photo ID is provided when submitting the form.
  • Important! Photo ID copy must be clear and legible. ERSGA must be able to read the ID number, name, date of birth, and expiration date on the submitted copy of your photo ID.
  • If a photo ID is not provided or is illegible or expired, the form will not be processed.
  • Only submit a copy of your photo ID. Do not send an original photo ID.

 

GTLI Assignment of Benefits Form