Tcdrs 70 Form Texas PDF Details

The TCDRS-70 Texas form, essential for members of the Texas County & District Retirement System (TCDRS), acts as a Direct Deposit Authorization notice to facilitate the seamless transfer of monthly benefit payments directly to members' bank accounts. Revised in April 2018, this structured document requires submission by the 15th of the month to ensure that beneficiaries receive their payments promptly by month-end. It comprehensively collects personal information including the beneficiary's Social Security Number, name, and contact details alongside banking specifics such as the financial institution's name, routing, and account numbers. Notably, it asks members to specify their preference between a checking or savings account for deposit. Moreover, the form underscores the importance of accuracy by demanding any alterations to be initialed, thereby guarding against errors in processing. Importantly, it also serves as a formal authorization for TCDRS to make necessary adjustments in the event of transaction errors and obliges the designated financial institution to disclose critical information, including the account holder's contact details and data related to joint owners or beneficiaries, if required. This commitment continues until the member instructs TCDRS otherwise. As such, this form plays a pivotal role in ensuring that the benefits distribution process is efficient, secure, and responsive to the needs of the system's beneficiaries.

QuestionAnswer
Form NameTcdrs 70 Form Texas
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestcdrs county referenced online, tcdrs, tcdrs information deposit, tcdrs get

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Direct Deposit Authorization

NOTICE

TCDRS-70 REV. 04/2018 PAGE 1 OF 1

This form must be received by the 15th of the month for your monthly benefit payment to be directly deposited into your bank account by the end of the month.

YOUR INFORMATION

EMPLOYER NAME *

 

 

 

ACCOUNT NUMBER

 

 

 

 

 

 

 

SSN *

FIRST NAME *

 

MIDDLE NAME

LAST NAME *

 

 

 

 

 

 

 

 

MAILING ADDRESS *

 

CITY *

 

STATE *

ZIP *

 

 

 

 

 

 

 

EMAIL ADDRESS

 

HOME PHONE

 

MOBILE PHONE

 

 

 

 

 

 

 

 

 

 

 

BANKING INFORMATION

FINANCIAL INSTITUTION *

ROUTING NUMBER *

ACCOUNT NUMBER *

 

CHECKING *

 

 

 

 

 

 

SAVINGS *

 

 

 

 

 

 

 

MAILING ADDRESS

 

CITY

 

STATE

ZIP

 

 

 

 

 

 

 

PHONE NUMBER

YOUR AUTHORIZATION

For the account referenced above, I authorize the Texas County & District Retirement System (TCDRS) to deposit my monthly benefit payments into my bank account. I also authorize TCDRS to make adjustments to my account to correct any transactions made in error. This authority shall remain in effect until I notify TCDRS to discontinue this payment method. I have requested the Texas County & District Retirement System to directly deposit my benefit payments by electronic transfer to the above referenced account and I hereby authorize the financial institution named above to disclose to the Texas County & District Retirement System at any time my address and contact information, and to disclose the names and addresses of all joint owners, signatories, beneficiaries or other persons associated with the above referenced account if I pass away. A photocopy of this signed form shall be sufficient authorization for such disclosure.

SIGNATURE

X

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*REQUIRED FIELDS

DATE

Any corrections or whiteouts must be initialed.

TCDRS * Barton Oaks Plaza IV, Ste. 500 * 901 S. Mopac Expy. * Austin, TX 78746 * (512) 328-8889 or 800-823-7782 * www.TCDRS.org

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