City of Santa Rosa Retiree Benefits Feedback Form
The City of Santa Rosa utilizes 3rd party administrator services for retiree benefits. Please help us serve you by providing feedback regarding these services.

Please note that you are encouraged to contact WORKTERRA, the 3rd party administrator, at 1- 888-327-2770 or custserv@workterra.com to resolve any issues. If you encounter any technical problems with this form, please call the Human Resources Office at 707-543-3060.
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone number *
Your answer
What type of issue are you reporting? *
The City of Santa Rosa contracts with a Third Party Administrator "WORKTERRA" - have you attempted to contact WORKTERRA at 1- 888-327-2770 or custserv@workterra.com? *
Date you first noticed the issue:
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YYYY
Date you first reported the issue?
MM
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DD
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YYYY
What MOU Unit do you belong to? *
Details of the issue you're experiencing are important.
Please explain the issue with as much detail as possible so we may better help you.
Details: *
Your answer
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