INSTRUCTIONS: ARIZONA DIRECT DEPOSIT AUTHORIZATION FOR RETIRED MEMBERS (Form 13)

To authorize or cancel direct deposits to the bank account of retired members enrolled in Arizona's state-administered retirement plans for public safety personnel, corrections officers or elected officials, a form 13 should be filed. This document can be obtained from the website of the Public Safety Personnel Retirement System.

Arizona Direct Deposit Authorization For Retired Members 13 Step 1: In the first blank box, enter your Social Security number.

Arizona Direct Deposit Authorization For Retired Members 13 Step 2: In the second blank box, indicate with a check mark whether this authorization should be applied to a retired or DROP account, to a survivor or guardian account, or that of an ex-spouse. If the latter, provide their name.

Arizona Direct Deposit Authorization For Retired Members 13 Step 3: Enter your SYSID, if known, in the third blank box.

Arizona Direct Deposit Authorization For Retired Members 13 Step 4: Enter your date of birth in the fourth blank box.

Arizona Direct Deposit Authorization For Retired Members 13 Step 5: Enter your email address in the fifth blank box.

Arizona Direct Deposit Authorization For Retired Members 13 Step 6: Enter your last name in the sixth blank box.

Arizona Direct Deposit Authorization For Retired Members 13 Step 7: Enter your first name and middle initial in the seventh blank box.

Arizona Direct Deposit Authorization For Retired Members 13 Step 8: Enter your street address in the eighth blank box.

Arizona Direct Deposit Authorization For Retired Members 13 Step 9: Enter your city, state and zip code in the ninth blank box. In the last three boxes of the first part, enter your home number, cell phone number and work phone number.

Arizona Direct Deposit Authorization For Retired Members 13 Step 10: In Section 2, indicate whether this is a checking or savings account with a check mark.

Arizona Direct Deposit Authorization For Retired Members 13 Step 11: Enter your routing number, account number and the name of the financial institution on the next three blank lines.

Arizona Direct Deposit Authorization For Retired Members 13 Step 12: Check the box in Section 3 if canceling a direct deposit authorization.

Arizona Direct Deposit Authorization For Retired Members 13 Step 13: Sign and date the bottom of the page.