Form 170S Authorizing Direct Deposit for Survivor's ... - Orbit 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section A, providing details about the Retirement Systems Member. Fill in their last name, first name, middle initial, suffix, and member ID.
  3. In Section B, enter your personal information including your first name, last name, SSN (last 4 digits), mailing address, telephone number, and date of birth. Check the box if there are any changes to your contact information.
  4. Select your retirement system in Section C by choosing from the provided options such as TSERS or LRS.
  5. In Section D, indicate the type of account (checking or savings) and provide your bank account information. Attach a voided check if necessary.
  6. Finally, certify your selections in Section E by signing and dating the form to authorize direct deposits.

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