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The NYCERS F380 form is a crucial document for members of the New York City Employees' Retirement System (NYCERS) who wish to streamline their retirement allowance payments. By completing this form, retirees can authorize the automatic deposit of their monthly retirement checks directly into their bank accounts through Electronic Fund Transfer (EFT). This process not only enhances convenience but also ensures timely access to funds, as payments are credited to the designated account on the last business day of each month. To successfully complete the F380 form, members must provide personal information, including their member number, contact details, and banking information. It is essential to attach a preprinted personal check or a bank statement to verify account ownership, as the name on these documents must match the records held by NYCERS. Additionally, the form requires notarization to confirm the member's identity and authorization. Members should also be aware that the EFT authorization remains in effect until they provide written notice to cancel it, making it a long-term solution for managing retirement income.

Similar forms

  • Direct Deposit Authorization Form: Similar to the NYCERS F380, this form allows individuals to authorize their employer or benefit provider to deposit funds directly into their bank account. It requires personal and banking information to ensure accurate deposits.
  • ACH Authorization Form: This document permits a company to withdraw funds from an individual's bank account on a recurring basis. Like the F380, it requires banking details and personal identification to facilitate electronic transactions.
  • Payroll Deduction Authorization Form: This form enables employees to authorize their employer to deduct specific amounts from their paycheck for various purposes, such as retirement contributions. It shares similarities with the F380 in that it involves consent for automatic transactions.
  • Bank Account Verification Form: This document is used to confirm the accuracy of an individual's bank account information. It is similar to the F380 in that it requires the submission of bank details to ensure proper processing of electronic transfers.
  • Retirement Benefits Enrollment Form: This form is completed by individuals enrolling in a retirement benefits program. It often includes sections for banking information, akin to the F380, to facilitate direct deposits of retirement funds.
  • Electronic Payment Authorization Form: This document allows individuals to authorize a business or government agency to make electronic payments directly to their bank account. It mirrors the F380 by requiring similar personal and banking information.
  • Withdrawal Request Form: This form is used to request the withdrawal of funds from an account, often requiring banking details for processing. Like the F380, it necessitates accurate information to ensure that the request is fulfilled correctly.

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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 F380 form can be straightforward, but there are common mistakes that people make. One frequent error is not ensuring that their name matches exactly with the name in NYCERS' records. This includes middle initials and any suffixes. If there is a discrepancy, the form may be rejected, delaying the processing of the Electronic Fund Transfer (EFT).

Another mistake is failing to provide complete banking information. Individuals should include the bank name, account number, and routing number. Omitting any of these details can result in the inability to process the EFT. Additionally, some people forget to attach the required documentation, such as a preprinted personal check or a copy of their bank statement. This step is crucial for verifying the account information.

Many applicants overlook the requirement for notarization. The form must be acknowledged by a Notary Public or Commissioner of Deeds. Without this signature, the form is not valid, and NYCERS cannot process the request. It is important to ensure that this step is completed before submitting the form.

Some individuals also fail to indicate whether they wish to deposit their retirement allowance into a checking or savings account. This selection is essential, as it determines how the funds will be deposited. Leaving this section blank can lead to confusion and potential processing delays.

Lastly, people sometimes do not read the instructions thoroughly. The form contains important details about the process, including how long it may take for the EFT to be set up. Ignoring these instructions can lead to misunderstandings about when the funds will be available in their accounts.

More About Nycers F380

  1. What is the NYCERS F380 form?

    The NYCERS F380 form is an authorization form that allows members of the New York City Employees' Retirement System (NYCERS) to have their monthly retirement allowance automatically deposited into their bank accounts through Electronic Fund Transfer (EFT).

  2. Who should complete the F380 form?

    Any NYCERS member who wishes to receive their retirement payments directly into their checking or savings account should complete this form. It simplifies the process of receiving monthly payments and ensures timely deposits.

  3. What information do I need to provide on the form?

    You will need to provide personal details such as your member number or pension number, the last four digits of your Social Security Number, and your contact information. Additionally, you must include your banking information, including the bank name, account number, and routing number.

  4. What documents must I attach to the F380 form?

    You must attach a preprinted personal check or deposit slip, or a copy of your checking or savings account bank statement. The document should have your name printed on it, and it must match the name in NYCERS' records exactly.

  5. How long does it take for the EFT to be processed?

    It may take up to 45 days from the receipt of your completed F380 form for the account to be processed for EFT. Therefore, it's important to submit the form well in advance of when you want the direct deposits to start.

  6. What happens if there is an error in the deposit?

    If payments are transferred in error by NYCERS, your bank will return those payments to NYCERS. The bank is authorized to deduct any erroneous amounts from your account. This ensures that any mistakes are corrected efficiently.

  7. Can I change or cancel my EFT authorization?

    Yes, you can cancel the EFT authorization at any time by providing written notice to NYCERS. It’s important to communicate any changes as soon as possible to avoid disruptions in your payments.

  8. What if my bank account information changes?

    If your bank account information changes, you will need to complete a new F380 form with the updated details. This ensures that your monthly retirement allowance continues to be deposited correctly.

Misconceptions

Here are seven misconceptions about the NYCERS F380 form:

  • Only retirees can use the F380 form. This is not true. Active members who are eligible for retirement can also submit the form to set up electronic fund transfers for their retirement allowance.
  • The F380 form is only for checking accounts. Many believe that this form is limited to checking accounts. However, it can also be used for savings accounts.
  • Submitting the F380 form guarantees immediate processing. Some think that once they submit the form, their request will be processed right away. In reality, it may take up to 45 days for the account to be set up for EFT.
  • Any bank can be used for the EFT. Not all banks are eligible. The bank must be a member of the Automated Clearing House (ACH) to facilitate electronic deposits.
  • The name on the bank account can differ from the name in NYCERS records. This is a common misunderstanding. The name on the bank account must match exactly the name in NYCERS records for the EFT to be processed.
  • You can split your monthly retirement allowance between multiple accounts. Some individuals think they can divide their payments. However, the allowance can only be deposited into one account at a time.
  • Once the form is submitted, it cannot be changed. This is incorrect. You can cancel or change your EFT authorization by providing written notice to NYCERS.

Key takeaways

Here are some key takeaways about filling out and using the NYCERS F380 form:

  • Purpose: This form allows you to set up automatic deposits of your NYCERS retirement allowance into your bank account.
  • Eligibility: Ensure your bank is part of the Automated Clearing House for electronic deposits.
  • Personal Information: Fill in your member or pension number, Social Security number, and contact details accurately.
  • Banking Details: Provide your bank's name, address, account number, and routing number.
  • Documentation: Attach a preprinted personal check, deposit slip, or a copy of your bank statement that shows your name.
  • Authorization: Sign the form to authorize NYCERS to send your payments electronically.
  • Notary Requirement: Have the form notarized or acknowledged by a Commissioner of Deeds.
  • Processing Time: Be aware that it may take up to 45 days for the EFT to be set up after NYCERS receives your form.
  • Monthly Statements: Your retirement allowance will appear on your bank statement, and you will receive a quarterly statement by mail.

Nycers F380: Usage Guide

To proceed with setting up your Electronic Fund Transfer (EFT) for your monthly retirement allowance from NYCERS, complete the F380 form accurately. This will ensure that your retirement payments are deposited directly into your chosen bank account without delay. Follow these steps carefully to fill out the form correctly.

  1. Write your Member Number or Pension Number at the top of the form.
  2. Enter the last four digits of your Social Security Number.
  3. Provide your daytime phone number.
  4. Fill in your first name, middle initial, and last name.
  5. Complete your address, including apartment number, city, state, and zip code.
  6. Indicate whether you wish to deposit your allowance into a checking or savings account.
  7. Provide your bank's name and phone number.
  8. Fill in the branch address, including city, state, and zip code.
  9. Enter your account number and bank routing number.
  10. Sign and date the form to authorize the EFT.
  11. Have the form acknowledged before a Notary Public or Commissioner of Deeds, including their signature and official title.
  12. Attach a preprinted personal check, deposit slip, or a copy of your bank statement that includes your name and matches the name in NYCERS' records.

Ensure that all information is accurate and complete before submission. This will help avoid any processing delays. Keep a copy of the completed form for your records.