The TCDRS 70 Texas form is a Direct Deposit Authorization document used by the Texas County & District Retirement System (TCDRS). This form enables retirees to have their monthly benefit payments directly deposited into their bank accounts, ensuring timely access to funds. Completing this form accurately is crucial for a seamless payment process.
The TCDRS 70 Texas form plays a crucial role in facilitating the direct deposit of monthly benefit payments for members of the Texas County & District Retirement System. This form must be submitted by the 15th of each month to ensure that payments are deposited into the designated bank account by month’s end. It collects essential personal information, including the member's name, Social Security number, and contact details, as well as banking information such as the financial institution's name, routing number, and account number. Members must indicate whether the account is a checking or savings account, providing clarity for the deposit process. By signing the form, individuals authorize TCDRS to deposit their benefits directly into their accounts and to make necessary adjustments in case of any errors. This authorization remains in effect until the member decides to discontinue the direct deposit arrangement. Additionally, the form includes provisions for the financial institution to share relevant information with TCDRS, ensuring that all parties are informed in the event of the member's passing. Proper completion of this form is essential for a smooth and reliable payment experience.
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
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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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