EFT/Drafting Authorization Form

    EFT/DRAFTING AUTHORIZATION AND AGREEMENT


    Please select a draft or deposit option:

    Please select the bank draft or direct deposit frequency:


    PERSONAL INFORMATION

    Please select your account type


    VOIDED CHECK

    Please scan in and upload a voided copy of your check or official bank form which includes routing and account number

    *Note: If any contribution (or any portion of a contribution) is made by a good faith mistake of fact, then within one year after the payment of the contribution, and upon receipt in good order of a proper request approved by the Board of Retirement, the amount of the mistaken contribution (adjusted for any loss in value) shall be returned directly to the participant or, to the extent required or permitted by the Board of Retirement, to the participating employer.

    SIGNATURE

    Use your mouse (or finger if on a mobile device) to sign your name in the box below.


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