Dfs A1 26R Form PDF Details

Embarking on retirement often comes with a significant shift in how individuals receive their benefits, especially for those associated with the State of Florida. The DFS A1 26R form plays a pivotal role in facilitating a smooth transition to direct deposit for retirement benefits, ensuring retirees receive their payments securely and promptly. This form allows for the initiation, modification, or cessation of direct deposits directly into a retiree's bank account, necessitating a clear understanding and accurate completion to avoid any delays in benefit payments. It encompasses various actions including the start of new direct deposit instructions, changes to existing account details, updates due to name changes, and requests to stop direct deposit. Moreover, the form mandates that retirees provide precise details regarding their bank account including the account number and the financial institution's transit routing number, underpinning the importance of accuracy to the direct deposit process. Additionally, it contains an agreement section that outlines the conditions under which the direct deposit authorization remains effective, emphasizing the need for retirees to notify the relevant authorities promptly about any changes that could affect their direct deposit. The emphasis on clear communication and careful adherence to instructions underscores the form's function as not just a procedural necessity but as a safeguard for retirees' financial well-being during their retirement years.

QuestionAnswer
Form NameDfs A1 26R Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdfs 26r form, form dfs a1 26r, florida retiement direct deposit form, state of florida direct deposit authorization form

Form Preview Example

Please leave this area blank

STATE OF FLORIDA

DIRECT DEPOSIT AUTHORIZATION

PLEASE TYPE OR PRINT CLEARLY

Payee Social Security Number

 

 

 

 

–

 

 

 

 

–

 

 

 

 

 

 

 

 

 

 

 

 

 

Payee Last Name,

 

First Name

M.I.

 

 

 

 

 

Payee Home Mailing Address (Number, Street)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

Zip Code

 

 

 

Home Telephone

 

Other Telephone (work, cell, etc.)

(____)

 

 

 

 

(____)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Direct Deposit

(1)

Start

 

 

 

Action Requested

(2)

Change

 

 

 

 

 

(Check Only One)

(3)

Name Change Only

 

 

 

 

 

 

 

(4)

Stop

 

 

 

 

 

 

 

 

 

For State of Florida Retirement Benefits Only.

NOTE: If you were a State employee and already had DIRECT DEPOSIT, no additional authorization is needed for your retirement benefit, unless you cancelled your previous authorization.

 

 

 

Account Type

(1) Checking

 

 

 

 

(Check Only One)

(2) Savings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Account Number – Start at left, leave unused spaces blank

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transit Routing Number of Your Financial Institution

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Your Financial Institution

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone number of Financial Institution

 

 

 

(____)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Payee or Legal Representative

Date

THIS FORM MUST BE SIGNED AND DATED BY PAYEE

Signature above signifies acceptance of the terms and conditions in

AGREEMENT to the right.

PLEASE READ AND CAREFULLY FOLLOW INSTRUCTIONS! For a Start or Change all boxes must be completed; do not leave information blank!

This form will start, change, or stop direct deposit for all payments received by you from the State of Florida. You may not have direct deposit to more than one account at one time.

Name: Please be sure your last name on this form matches the last name on your retirement account at the Division of Retirement. Your direct deposit will not start if the names do not match. If you change your name please contact the Retirement office ASAP for instructions on how to update your name in their files.

Address: Please notify the Division of Retirement of any address changes or corrections by calling toll free 1-888-377-7687 or local (850) 488-4742, writing PO Box 3090, Tallahassee, FL 32315-3090 or E-Mailing them at Retired@dms.myflorida.com for more information.

Direct Deposit Action Requested:

1.Check Start if you don’t have direct deposit and wish to start.

2.Check Change if you have direct deposit and wish to change your financial institution or just your account number or account type (Checking or Savings). Your current direct deposit is stopped when a change request is received. While the change is being processed, you will be paid by warrant (paper check).

3.Check Name Change Only if you are changing your name. Please notify the Division of Retirement ASAP. Skip to the bottom of the form and sign and date it.

4.Check Stop if you wish to stop your direct deposit. Stops are processed the day they are received.

Account Number: Please make sure the account number on this form is correct.

Transit Routing Number: This is the nine-digit number that identifies your financial institution (Bank, Savings & Loan or Credit Union). It is found in the bottom left-hand corner of your personal check.

If you’re not sure about your Account information , PLEASE CONTACT YOUR FINANCIAL INSTITUTION.

AGREEMENT

I hereby authorize and request the State of Florida to initiate credit entries and, if necessary, a debit entry reversing a credit entry made in error, to my account at the financial institution named. This direct deposit is to remain in effect until withdrawn by: (a) me in writing with sufficient notice to the State to allow adequate time to effect termination; (b) my death or legal incapacity; (c) the financial institution or (d) the State of Florida. It will purge approximately six (6) months after my last state retirement payment. It will remain in effect if I start receiving FRS benefits within 6 months of the final state wage payment.

Special Note: Please make sure your direct deposit has stopped before closing your account. Otherwise, the funds will be returned to the State and cause a seven to ten day delay before you receive your retirement payment in the mail.

Forms with deposit slips attached will be rejected;

the banking codes are not correct.

Tape a voided personal check here for verification.

If using a savings account, please verify account

information with your financial institution.

FAX to:

Or mail to:

(850) 413-5549

Direct Deposit Section

If you fax your form, retain

Department of Financial Services

the original. Please do not

200 E. Gaines Street

mail it.

Tallahassee, FL 32399-0359

Direct Deposit Telephone (850) 413-5517

Please allow 4 to 6 weeks for your direct deposit to begin.

DFS-A1-26R, Rev. Jan 2011

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Part no. 1 for filling out florida direct deposit

2. The subsequent stage would be to submit all of the following fields: Action Requested Check Only One, Other Telephone work cell etc, For State of Florida Retirement, NOTE If you were a State employee, DEPOSIT no additional, Account Type, Check Only One, Checking Savings Your, Transit Routing Number of Your, Name of Your Financial Institution, Telephone number of Financial, Signature of Payee or Legal, Date, THIS FORM MUST BE SIGNED AND DATED, and AGREEMENT to the right.

Part number 2 in completing florida direct deposit

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