Transcription of Direct Deposit Authorization - CalPERS
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Direct Deposit Authorization - CalPERS
Information About Your Account Section 1 Information About YouA separate form must You will receive a confirmation letter with the effective date once CalPERS has processed this completed form. In order be completed for each type to receive important information about benefits, payees should keep CalPERS informed of any address changes. of retirement benefit to be sent by Direct (First Name, Middle Initial, Last Name) Social Security Number or CalPERS ID( )Address Daytime PhoneCity State ZIP Code Section 2 If you are authorizing your c Checking c Savings c Individual c Joint (If so, Complete Section 3) c Trust Account *payment to your savings account or do not have Routing Number (nine digits) Account Number pre-printed, personalized checks, please have Please use tape to attach your voided, pre-printed personalized check.
Payment of Monthly Allowance to a City State . ZIP Code Trust (Annuitant) form or You confirm the identity of the above-named payee and the account number. As a representative of the above named . a Certification of Trust financial institution, you certify the financial institution agrees to receive and deposit the payment identified above.
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