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The NYCERS 380 form is an essential document for individuals seeking to have their monthly retirement allowance directly deposited into their bank accounts through Electronic Fund Transfer (EFT). Completing this form allows retirees to streamline their financial management by ensuring timely deposits into either a checking or savings account. To initiate this process, members must provide personal information, including their member or pension number, last four digits of their Social Security number, and contact details. Additionally, the form requires banking information, such as the bank name, account number, and routing number, along with a preprinted personal check or deposit slip to verify the account details. It is crucial that the name on the bank document matches the name in NYCERS' records to avoid processing delays. Members should also be aware that submitting this form updates their official address in the NYCERS system if the provided address differs from the existing one. Notarization is required for the form to be valid, ensuring that the member's authorization is properly acknowledged. Once processed, the monthly retirement allowance will be deposited automatically, providing convenience and security for retirees managing their finances.

Similar forms

The NYCERS 380 form is essential for members wishing to authorize the Electronic Fund Transfer (EFT) of their monthly retirement allowance. Several other documents serve similar purposes or functions in various contexts. Below is a list of six documents that share similarities with the NYCERS 380 form:

  • Direct Deposit Authorization Form: This document allows employees to authorize their employer to deposit their salary directly into their bank accounts. Like the NYCERS 380, it requires banking information and personal identification details.
  • Bank Account Change Request Form: Used by account holders to update their banking information with a financial institution, this form also necessitates personal details and may require a signature, similar to the NYCERS 380.
  • Social Security Administration Direct Deposit Form: This form enables individuals to set up direct deposit for their Social Security benefits. It shares the same goal of ensuring timely and secure deposit of funds, requiring personal and banking information.
  • Pension Plan Enrollment Form: When enrolling in a pension plan, members often fill out a form that collects personal information and banking details for future benefit distributions. This process mirrors the requirements of the NYCERS 380 form.
  • Medicare Payment Authorization Form: This document allows beneficiaries to authorize automatic deductions from their bank accounts for Medicare premiums. Like the NYCERS 380, it emphasizes the importance of accurate banking information and personal identification.
  • Tax Refund Direct Deposit Form: Taxpayers can use this form to request that their tax refunds be directly deposited into their bank accounts. It similarly requires personal and banking information, ensuring a smooth transfer of funds.

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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.

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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.

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Page 2 of 2

Common mistakes

Filling out the NYCERS 380 form can seem straightforward, but many people make common mistakes that can delay their retirement payments. One frequent error is not providing the correct member or pension number. This number is essential for NYCERS to identify your account. Without it, your application may be processed incorrectly or not at all.

Another common mistake involves discrepancies in names. It’s crucial that the name on your bank account matches exactly with the name in NYCERS’ records. Any variation, even in spelling, can lead to complications. If your name has changed, ensure you have updated your records with NYCERS before submitting the form.

Many individuals overlook the requirement to attach a preprinted personal check or deposit slip. This step is necessary to verify your banking information. Submitting a blank check without marking it as "VOID" can also cause issues. Always follow the instructions carefully to avoid delays.

Providing incorrect banking information is another significant error. Double-check your bank routing and account numbers before submission. An error here can result in your retirement funds being deposited into the wrong account, creating unnecessary complications.

Some people forget to sign the form. A signature is required to authorize the transfer of funds. Without it, your application will be incomplete, and NYCERS will not process it. Make sure to sign where indicated.

Failing to acknowledge the form before a Notary Public or Commissioner of Deeds is another mistake. This step is necessary for the form to be valid. Ensure that you complete this requirement before mailing your application to NYCERS.

Lastly, many applicants do not read the instructions thoroughly. The instructions on the back of the form contain important details about the process. Ignoring these can lead to mistakes that could have been easily avoided.

By avoiding these common pitfalls, you can ensure a smoother process for receiving your retirement funds. Take your time, double-check your information, and follow all instructions carefully.

More About Nycers 380

  1. What is the NYCERS 380 form used for?

    The NYCERS 380 form is an authorization form that allows members to set up Electronic Fund Transfer (EFT) for their monthly retirement allowance. By completing this form, members can have their retirement payments automatically deposited into their designated bank accounts, either checking or savings.

  2. How do I fill out the NYCERS 380 form?

    To complete the NYCERS 380 form, provide your personal information, including your member number or pension number, the last four digits of your Social Security Number, and your contact details. Next, fill in your banking information, including the bank name, account number, and routing number. It is essential to attach a preprinted personal check or deposit slip that displays your name, which must match the name on file with NYCERS.

  3. What should I do if my address has changed?

    If the address you provide on the NYCERS 380 form differs from the one currently in NYCERS' records, the new address will be updated as your official address. Ensure that you provide accurate and current information to avoid any future issues with your retirement payments.

  4. How long will it take for the EFT to become effective?

    Once NYCERS receives the completed 380 form, it may take up to 45 days for the EFT setup to be processed. During this time, it is advisable to monitor your bank account to ensure that the funds are deposited correctly once the process is complete.

  5. What happens if an error occurs with my EFT deposit?

    If payments are transferred in error by NYCERS, the bank will return those payments to NYCERS as authorized by you, the depositor. Your bank will follow the same procedures outlined in federal regulations regarding such transfers, ensuring that any erroneous deposits are handled appropriately.

  6. Can I split my retirement allowance between multiple bank accounts?

    No, the monthly retirement allowance can only be deposited into one account, either a checking or savings account, but not both. It is important to specify your preferred account type when completing the form.

  7. How will I receive statements regarding my retirement allowance?

    Your monthly net retirement allowance will appear on your bank statement. Additionally, a quarterly statement will be mailed to your home address, detailing your retirement allowance and any deductions made during that period, such as for health insurance or taxes.

Misconceptions

Understanding the NYCERS 380 form is essential for anyone looking to set up electronic fund transfers for their retirement allowance. However, several misconceptions can lead to confusion. Here’s a list of ten common misunderstandings about this important form:

  1. It’s only for checking accounts. Many believe that the NYCERS 380 form can only be used for checking accounts. In reality, you can also use it for savings accounts.
  2. You don’t need to provide banking information. Some think that submitting the form without banking details is acceptable. However, complete banking information is necessary for processing your request.
  3. My address doesn’t need to match NYCERS records. It's a common misconception that the address on the form doesn’t need to match your official address with NYCERS. If it differs, the new address will replace the old one in their records.
  4. It’s okay to use a handwritten check. Many assume that a handwritten check is sufficient. However, you must attach a preprinted personal check or deposit slip for the form to be processed.
  5. Signing the attached check is required. Some individuals think they need to sign the check they attach. In fact, you should not sign it; just write "VOID" across the front.
  6. The form can be submitted without notarization. Many believe that notarization is optional. However, your signature must be acknowledged by a Notary Public or Commissioner of Deeds for the form to be valid.
  7. It processes immediately. Some people expect that submitting the form will result in immediate processing. In reality, it may take up to 45 days to set up the EFT.
  8. My retirement allowance can be split between accounts. Many think they can divide their monthly allowance between a checking and savings account. However, you can only designate one account for deposits.
  9. Once submitted, I can’t change my banking information. Some believe that once the form is submitted, the banking information is set in stone. You can cancel the EFT and submit a new form if you need to make changes.
  10. The bank will automatically return erroneous payments. It's a misconception that banks will always handle erroneous payments without issue. While they will return funds, you must also authorize your bank to deduct any erroneous payments from your account.

By clarifying these misconceptions, you can navigate the NYCERS 380 form with greater confidence and ensure a smooth setup for your electronic fund transfers.

Key takeaways

Here are some key takeaways about filling out and using the NYCERS 380 form:

  • Purpose: This form allows you to set up automatic deposits of your monthly retirement allowance into your bank account via Electronic Fund Transfer (EFT).
  • Address Change: If you provide a new address on the form, it will replace your current address in NYCERS' records.
  • Bank Requirements: Your bank must be a member of the Automated Clearing House for EFT to work.
  • Documentation: Attach a preprinted personal check or deposit slip. Ensure your name matches the one in NYCERS' records.
  • Processing Time: It may take up to 45 days for your EFT setup to be processed after NYCERS receives your form.
  • Monthly Deposits: Your retirement allowance will be credited to your account on the last business day of each month.
  • Single Account: You can only deposit your allowance into one account, either checking or savings, but not both.
  • Notarization: The form must be acknowledged by a Notary Public or Commissioner of Deeds before submission.

Nycers 380: Usage Guide

To complete the NYCERS 380 form, you will need to provide personal and banking information to authorize the Electronic Fund Transfer (EFT) of your monthly retirement allowance. Follow the steps carefully to ensure accurate submission. After filling out the form, mail it to the specified address for processing.

  1. Obtain the NYCERS 380 form.
  2. Fill in your Member Number or Pension Number.
  3. Enter the last four digits of your Social Security Number.
  4. Provide your daytime phone number.
  5. Fill in your first name, middle initial, and last name.
  6. Complete your address, including apartment number, city, state, and zip code.
  7. Select whether you wish to deposit your allowance into a checking or savings account.
  8. Provide your banking information, including bank name, phone number, branch address, city, state, zip code, account number, and bank routing number.
  9. Sign and date the form in the designated area.
  10. Have the form acknowledged before a Notary Public or Commissioner of Deeds.
  11. Attach a preprinted personal check or deposit slip, or a copy of your bank statement, ensuring your name matches exactly with NYCERS records.
  12. Write "VOID" across the face of the attached check or deposit slip if applicable.
  13. Mail the completed form to: NYCERS, 30-30 47th Avenue, 10th Fl, Long Island City, NY 11101.