Fax 5737614404 - mocerf 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Payee Information section. Enter your Social Security Number, First Name, Initial, Last Name, and E-mail Address. Ensure all details are accurate for processing.
  3. Provide your address, including City, State, and Zip Code. Include both Work Phone and Home Phone numbers for contact purposes.
  4. In the Required Signatures section, authorize the County Employees' Retirement Fund by signing and dating the form. If applicable, include the names and signatures of any Joint Account Owners.
  5. Complete the Financial Institution Information section by entering your bank’s name, address, routing number, account number, and specify whether it is a Checking or Savings account.
  6. Ensure that a representative from your financial institution signs and dates the form to validate it.

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