SERS 123 PDF Details

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.

QuestionAnswer
Form NameSERS 123
Form Length1 page
Fillable?Yes
Fillable fields24
Avg. time to fill out4 min
Edition03/16/2026
Issuing agencyPennsylvania State Employees' Retirement System (SERS)
Where to sendThe address at the bottom of the form
Other namesSERS 123, SERS123, SERS direct deposit form, Defined Benefit Plan Direct Deposit of Pension Payments
Official sourceSERS 123 (Rev 03/16/2026), Pennsylvania State Employees' Retirement System (SERS)

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