Nycers Form 380 PDF Details

For New York City employees who look forward to retirement, the efficient and secure management of their retirement benefits is paramount. The NYCERS 380 form, also known as the Authorization for Electronic Fund Transfer (EFT) of Monthly Retirement Allowance, serves as a vital tool in ensuring that retirees receive their monthly allowances promptly and directly into their bank accounts. This form allows retired employees of New York City to have their retirement checks deposited automatically into either their checking or savings accounts, simplifying the process of accessing their funds. The form outlines a clear procedure for setting up the EFT, requiring personal and banking information, and insists on a match between the name on the bank account and the name in NYCERS records to process the request successfully. Additionally, it includes safeguards for erroneous payments and stipulates conditions for reimbursement to NYCERS, emphasizing the form’s role in facilitating a smooth transactional process for retirement allowances. Retirees are advised to read the instructions carefully and acknowledge the form before a Notary Public or Commissioner of Deeds to validate the request. Understanding the proper use and implications of the NYCERS 380 form is essential for a hassle-free transition into retirement, ensuring that retirees can focus more on enjoying their retirement years and less on managing their retirement benefits.

QuestionAnswer
Form NameNycers Form 380
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesinstuctions, Pensioner, Alessandro, EFT

Form Preview Example

NYCERS USE ONLY

F380

Mail completed form to: *380*

30-30 47th Avenue, 10th Fl

Long Island City, NY 11101

Authorization for Electronic Fund Transfer (EFT) of Monthly

Retirement Allowance

Complete this form if you wish to have your NYCERS check automatically deposited into your bank (checking or savings) account by Electronic Fund Transfer (EFT). Be sure to read the instructions on the back of this form before submitting it to NYCERS. NOTE: If the address you provide on this form is different from your address in our system, the new address will become your official address in our records. Should you have any questions, please contact our Call Center at 347-643-3000.

Member Number OR

Pension Number

 

Last 4 Digits of SSN

Daytime Phone

 

 

 

 

 

(

)

 

 

 

 

 

 

 

First Name

 

M.I.

 

Last Name

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

Apt. Number

City

State

Zip Code

Provide the banking information below and attach a preprinted personal check or deposit slip or a copy of your checking or savings account bank statement. Your name must appear on the preprinted check or bank document and it must match the name in NYCERS' records exactly in order for us to process this request.

 

I wish to deposit my monthly retirement allowance in my

Checking or

Savings

account. I have read and understand the

 

conditions on page 2 of this form and hereby authorize NYCERS to send my monthly retirement allowance via EFT.

BANKING INFORMATION (please print):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank Name

 

 

 

 

 

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Branch Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Number

 

 

Bank Routing Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Member

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This form must be acknowledged before a Notary Public or Commissioner of Deeds

 

State of

 

County of

 

 

On this

day of

 

 

 

 

2 0

 

, personally appeared

 

 

 

 

 

 

before me the above named,

 

 

 

 

 

 

, to me known, and known to

me to be the individual described in and who executed the foregoing instrument, and he or she acknowledged to me that he or she

executed the same, and that the statements contained therein are true.

If you have an official seal, affix it

Signature of Notary Public or

 

 

Commissioner of Deeds

 

 

 

 

 

 

 

Official Title

 

 

 

 

 

 

Expiration Date of Commission

 

 

 

 

 

 

 

If payments are transferred in error by NYCERS, the bank will return such payments to NYCERS as authorized by the depositor. The bank also agrees to apply the same procedures described in 31 CFR 210 to such transfers, and agrees to reimburse NYCERS to the same extent as Federal agencies are reimbursed under 31 CFR 210.

R12/16

Page 1 of 2

NYCERS USE ONLY

F380

Mail completed form to:

30-30 47th Avenue, 10th Fl

Long Island City, NY 11101

Filling out this form and submitting it to NYCERS authorizes:

1.The Office of the Comptroller of the City of New York, on behalf of the New York City Employees' Retirement

System (NYCERS) to send my monthly retirement allowance via Electronic Fund Transfer (EFT) to the bank* designated on this form for deposit in my account.

2.My bank: (a) to receive my monthly retirement allowance via EFT for deposit in my account AND

(b)to deduct from my designated account or deposits in my name at this bank all amounts transferred in error by NYCERS or any amounts sent after my death and to reimburse NYCERS to the extent of such deductions, applying the same procedures described in 31 CFR 210 to such transfers in error and reimbursing NYCERS to the same extent as Federal agencies are reimbursed under 31 CFR 210.

3.My heirs, my estate and designated beneficiaries of my monthly retirement allowance, respectively, to reimburse NYCERS for any amount deposited in error after my death, in event that my account is closed or contains an insufficient balance to reimburse

NYCERS.

This EFT authorization will remain in effect until I have given written notice to NYCERS canceling the EFT.

* The bank you name must be a member of the Automated Clearing House in order for your funds to be deposited electronically.

HOW EFT WORKS:

1.Your net retirement allowance is automatically credited to your bank account on the last day of each month providing it's a business day; if the last day is a weekend or holiday, the funds are deposited on the next business day.

2.Your monthly net retirement allowance will appear on your bank statement.

3.A quarterly statement, issued by the Office of the Comptroller, will be mailed to your home address. It will reflect details of your monthly retirement allowance, including deductions for union dues, health insurance and federal income tax withheld during the three-month period.

Your monthly retirement allowance can be deposited in either your checking or savings account - NOT split between both.

TO AUTHORIZE EFT:

•Provide your personal and banking information on page 1.

•Attach a preprinted personal check

(name must appear on check) or preprinted savings deposit slip to this page. If your bank no longer provides personal checks or preprinted savings deposit slips, attach a copy of the top portion of your Checking or Savings Account Bank Statement.

•If submitting a preprinted check or deposit slip write VOID (in large letters) across the face, as indicated in the sample.

•Do NOT sign the check that you are attaching to this page.

•The name on your bank account must match exactly your name in NYCERS' records.

Note: It may take up to 45 days from receipt of this form for the account to be processed for EFT.

R12/16

Page 2 of 2

How to Edit Nycers Form 380 Online for Free

This PDF editor was developed to be as easy as it can be. Once you keep to the next steps, the process of preparing the nycers direct deposit form file will undoubtedly be simple and easy.

Step 1: You can choose the orange "Get Form Now" button at the top of the following website page.

Step 2: Once you have entered the nycers direct deposit form editing page you may discover each of the functions you'll be able to undertake about your file in the top menu.

Feel free to enter the next information to fill out the nycers direct deposit form PDF:

filling out Auth step 1

Note the required details in Signature of Member, Date, This form must be acknowledged, State of, County of, On this, day of, personally appeared, before me the above named me to be, If you have an official seal affix, to me known and known to, Official Title, Expiration Date of Commission, If payments are transferred in, and Page of box.

Filling out Auth step 2

Step 3: If you are done, hit the "Done" button to transfer your PDF document.

Step 4: Have a duplicate of any file. It's going to save you time and allow you to avoid issues down the road. Also, your data will not be revealed or monitored by us.

Watch Nycers Form 380 Video Instruction

Nycers Form 380 isn’t the one you’re looking for?

Related Documents

  • Address Nycers

    "... 07/19/12 address apt 290 290 Change of Address Form Page of In Care of If applicable Previous address NYC ers only uses member numbers or pension numbers last digits of SSN phone number, first name, ..."

  • Form Mv 380

    "... mv 38 414 www mv state pau application for duplicate certificate of title by owner for department use only bureau of motor vehicles 1101 south front street harrisburg pa 17104 fee 5000 applicant and vehicle information title number vehicle identification number in owners lastname or full business name first name middle name pad photo id or bus id dateofbirth co owner lastname first name middle name pad photo id dateofbirth check block if owners owners new street address address listed is different from address recorded on original city state zip code title and the owners vehicle record needs updated reason for duplicate title appropriate lost destroyed defaced lien satisfied on attached title defaced title must be attached and requesting new title block rr must be stolen never received checked provide your correct address above vehicle owners not ari ation subscribed and sworn we state that we have read and signed this application after its completion and we to before me month day years wear or affirm that the statements made here in are true and correct and that any statement made on or pursuant to this application is subject to the penalties of 18 pac section 4903 relating to false swearing which shall include punishment of fine signature of person administering oath not exceeding 5000 or to term of imprisonment of not more than two years or both signature of owner or authorized person do not notarize unless signed by applicant min presence of notary signature of co owner or ..."

  • Nyc 1127 Form

    "... Email address of taxpayer. Employee social security number. Type or print a return for nonresident city employees. This information is for those who were hired after January 1973. ..."

  • Nycap Ess

    "... Employee self-service overview. You can instantly access your HR payroll tax and benefits data. In line with the pla nyc Green Initiative frequently asked questions. How do I access the employee service? To access the ..."

Please rate Nycers Form 380

1 Votes

Related Resources

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .