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Authorization for Direct Deposit of Pension Benefit

(* Indicates required fields)
If you would like your future pension benefits direct deposited, please follow these instructions:
1. Fill out the requested information below. You may need the following information:
    - Social Security Number
    - Trust/Plan Number
    - Foreign Financial Institution Name, ID, and Address (if applicable)
2. Print and sign the form.
3. Mail (or fax) the form to Comerica as indicated on the form. This form will be processed within five business days from the day of receipt by Comerica Bank.
Customer Information:
First Name:
Middle Initial:
Last Name:
Social Security Number:
- -
Re-enter Social Security Number:
- -
Customer Address:
Address Line 1:
Address Line 2:
City:
State/Province:
Postal Code:
Country:
Customer Contact Information:
Phone Number:
 )   -   Extension: 
Pension Information:
Company Name where you were Employed:
Trust/Plan Number:
 (6 digit number from deposit advice or check)
Foreign Financial Institution Information:
Declaration - U.S. law requires that the following information be obtained for all direct deposit (ACH) transactions.
Will the pension payment that is made via direct deposit pursuant to this Authorization be forwarded across the U.S. border to a foreign institution through the ACH network, on the same day that it is deposited into your account?:
  Yes 
  No 
Foreign Financial Institution Name:
Identification Number:
Address Line 1:
Address Line 2:
City:
State/Province:
Postal Code:
Country:

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