Form RS 6370 at a glance
What it is: RS 6370 is the Electronic Funds Transfer Direct Deposit Enrollment Application. NYSLRS provides direct deposit through the National Automated Clearing House Association (NACHA) Network to domestic U.S. financial institutions.
Who signs: The Electronic Funds Transfer Direct Deposit Enrollment Application must be signed by you and the joint account holder if any.
A filled-in Form RS 6370 example: a pensioner enrolls in direct deposit
How to fill out Form RS 6370, box by box
NYSLRS ID, Social Security Number and Retirement System (ERS or PFRS)
Enter the NYSLRS ID and the Social Security Number [last 4 digits]. Retirement System [check one]: Employees' Retirement System (ERS) or Police and Fire' Retirement System (PFRS).
Section 1: to be reviewed and corrected by pensioner
Review Section 1 and make any necessary corrections and complete Section 2.
Name: (First, Middle Initial, Last). Preferred Telephone Number: (Please Provide). Address: (Including Street, City, State and Zip Code). Corrections: (If Any).
If you currently receive more than one type of payment from NYSLRS, as a Pensioner, Beneficiary or an Alternate Payee under a Domestic Relations Order, NYSLRS will only distribute payment for all benefits payable to you in one account.
Section 2: Checking or Savings
If you are requesting direct deposit to a "Checking Account", attach a voided check to Section 3.
If a voided check is not attached to Section 3, or if your checks do not have your name imprinted on them, then Section 3 must be completed by your financial institution.
If requesting direct deposit to a "Savings Account", Section 3 must be completed by your financial institution.
Signatures and dates
Signature, Date, Signature of Joint Holder: (if any), Date, Printed Name of the Joint Holder: (if any).
More rules for Form RS 6370
Please type or print clearly in blue or black ink.
Name of Account: (Full Title of Account). Transit/ABA Number: (ACH Format-9 Digits). Depositor's Account Number: (EFT Format - Cannot Exceed 17 Digits).
Section 3 is to be completed by your financial institution if directing funds into a savings account or if a voided check is not attached. The pensioner's name must appear on the account.
Name of Financial Institution and Bank Officer Signature.
You may change financial institutions and/or accounts by completing a new enrollment application.
You should, however, be aware that changing financial institutions and/or account could take up to 30 days to complete.
To cancel this request, written notification from you must be received by NYSLRS at least 30 days prior to the next payment date.
A retiree's failure to provide the requested information may delay or prevent the receipt of payments through the Direct Deposit/Electronic Funds Transfer Program.
Common questions about Form RS 6370
Where do I file it?
Return the application to NYSLRS. The completed applications should be returned to EFT/Pensioner Services New York State and Local Retirement System 110 State Street Albany, New York 12244-0001. Or you may fax the completed form and any attachments to (518) 473-5323.
What am I certifying when I sign?
By making this request, I hereby represent the account identified herein (and as may later be modified) is not a trust.
When is this form not the right one?
NYSLRS will not make a direct deposit of a monthly pension payment into a trust account or any trust-like entity (i.e. Payable on Death Account). NYSLRS will not make direct deposit of a monthly pension payment to a pre-paid debit card. Funds are not transferred into international accounts across national borders.
Sources
[1] Form RS 6370 (Rev.09/22), Electronic Funds Transfer Direct Deposit Enrollment Application, New York State and Local Retirement System (the Official source link on this page).
