Please rate Form Sers 123 03-16-2026
Part I is the payee agreement and Part II is the financial institution agreement.
Payee type: Check one: SERS Member, Survivor/Beneficiary or Alternate Payee.
Member SSN: If the payee is not a SERS member.
Account type: Check one. If an account type is not selected, the benefit cannot be processed.
First payment: Your first payment after this form is processed will be by check, mailed to your address on record.
Pension payments: Monthly pension payments are deposited on the last business day of each month.
Changes: If the payee wishes to change these instructions, the payee agrees to notify SERS at least 60 days prior to the effective date of such change.
| Question | Answer |
|---|---|
| Form Name | SERS 123 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 24 |
| Avg. time to fill out | 4 min |
| Edition | 03/16/2026 |
| Issuing agency | Pennsylvania State Employees' Retirement System (SERS) |
| Where to send | The address at the bottom of the form |
| Other names | SERS 123, SERS123, SERS direct deposit form, Defined Benefit Plan Direct Deposit of Pension Payments |
| Official source | SERS 123 (Rev 03/16/2026), Pennsylvania State Employees' Retirement System (SERS) |
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Please rate Form Sers 123 03-16-2026