1199 National Pension Form PDF Details

Navigating the complexities of pension management, especially for healthcare workers, requires careful attention to detail and an understanding of the necessary paperwork. The 1199SEIU Pension Funds offer a critical tool for members to manage their pension benefits efficiently: the Direct Electronic Deposit Authorization form, commonly referred to as the 1199 National Pension form. This form facilitates a seamless transition for pension recipients opting for direct deposit into their bank accounts, a safer and more convenient alternative to traditional check-based methods. It mandates clear, black or blue ink entries for personal and financial information, including a crucial decision-making section where members must specify their election regarding new deposits, changes to existing accounts, or cancellation of direct deposit in favor of receiving checks by mail. With options covering three significant pension funds—Health Care Employees, Greater New York, and Home Care—this form offers a customizable approach to pension management. Additionally, it underscores the importance of accuracy in financial details by requiring a bank verification step, either via a voided check for checking accounts or a bank letter for savings accounts, ensuring that pension distributions go precisely where intended. The form's design notably incorporates provisions for both domestic and international banking scenarios, acknowledging the diverse needs of its members. By delegating a minimum four-week window for any changes to take effect, it also lays bare the need for advance planning and careful timing in pension management. Moreover, the form's mention of a voluntary service underscored by the member's signature reflects the mutual agreement between the pension fund and the member for these financial transactions, embodying trust and meticulous record-keeping in the service of financial security.

QuestionAnswer
Form Name1199 National Pension Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names1199SEIU, 1199SEIUBenefits, applicable, 42nd

Form Preview Example

1199SEIU PENSION FUNDS

330West 42nd Street • New York, NY 10036-6977 • www.1199SEIUBenefits.org • Tel (646) 473-8666 Outside NYC Area Codes: (800) 892-2557 • Westchester & Upstate Counties: (877) 557-1199

Direct Electronic Deposit Authorization

(A minimum of four (4) weeks to put into effect)

Print clearly in black or blue ink.

Full Name:

Member ID or Social Security #:

 

 

 

 

 

 

 

Telephone: (

 

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Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

State:

 

 

 

 

Zip Code:

 

 

Beneficiary Social Security # (if applicable):

 

-

 

-

 

 

 

 

 

 

 

 

 

 

 

Election: You must sign and date this form to make any change (choose one) New Pension Direct Deposit

Bank by Mail (For banks in foreign countries or banks that do not accept direct deposit. We will mail the check directly to your financial institution, because we cannot send it electronically.)

Change from my current financial institution to the financial institution listed below

I am staying with my financial institution, but my account information has changed Cancel Direct Deposit and send my checks to my home address listed above

Check the box for your Pension Fund:

Health Care Employees

Greater New York

Home Care

Fill out this section or change your direct deposit. If you are canceling your direct deposit,

Financial Institution

leave this section blank.

 

 

 

 

 

 

 

 

 

 

 

 

 

Stamp Below

Type of Account:

Savings

Checking

Effective Date:

 

Name of Institution:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of Institution:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

State:

 

 

 

Zip Code:

 

 

 

Routing # (9 digits):

 

 

 

 

Account #:

 

 

 

Financial Institution Authorizing Signature X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Checking accounts require a voided check with the account holder’s name pre-printed on the check, or a stamp from the financial institution on this form, or a signed letter from the financial institution on company letterhead confirming the account holder, routing number and account number.

Savings accounts require a stamp from the financial institution on this form or a signed letter from the financial institution on company letterhead confirming the account holder, routing number and account number.

Until further written notice from me, I hereby authorize the “1199SEIU Health Care Employees Pension Fund” or “1199SEIU Greater New York Pension Fund” or “1199SEIU Home Care Employees Pension Fund” (a) to deposit my pension amount in my account, chosen above, and (b) to make adjustments and have my account charged for any erroneous credits or other amounts to which I am not entitled.

I further understand that should I choose or change this account I must give a new completed form to the Pension Department at least one month before the pension direct deposit is to be terminated. I understand that this is a completely voluntary service provided by the Pension Fund for my convenience and that it can be terminated by the Pension Fund or by me at any time. Because the wrong number can lead to my pension being sent to the wrong person’s account, I have taken great care to make sure that the Account #, Account Type and Bank Routing # are correct.

Pensioner’s Signature X

 

Date:

AFP1•฀4/10฀

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Filling out segment 1 of 1199 retirement form

2. After filling out this part, head on to the subsequent part and fill in the essential details in these blanks - Name of Institution, Address of Institution, City, Routing digits Financial, State, Zip Code, Account , Note Checking accounts require a, Savings accounts require a stamp, Until further written notice from, I further understand that should I, Pensioners Signature X, Date, and AFP.

Part number 2 for filling out 1199 retirement form

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