What does the Retirement Direct Deposit Authorization Form do?

It authorizes Kalamazoo County to deposit a retiree’s benefit into the financial institution and account the retiree selects. It also authorizes debit or adjustment entries if a deposit is transmitted in error.

What information does the form ask for?

The form requests the retiree’s name, financial institution, account number, nine-digit ABA number, checking or savings selection, signature, date, printed name, and daytime phone number.

Do I need a notary for the Retirement Direct Deposit Authorization Form?

No. The retiree signs and dates this form without a notary; it does not identify a notarized attachment or related step.

How do I submit the Retirement Direct Deposit Authorization Form?

Submit it to the county department named on the form. The form does not provide submission contact details, so check the county website for current information.

Kalamazoo County, MI · Kalamazoo County

No notary required

Retirement Direct Deposit Authorization Form

Kalamazoo County retirees use this form to authorize deposits of retirement benefits into a checking or savings account at their chosen financial institution.

At a glance

Issued by: City of Kalamazoo County · Kalamazoo County, Kalamazoo County, Michigan
Notarization: Not required: file this form without a notary.
Official source: kalcounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form authorizes Kalamazoo County to deposit a retiree’s benefits into the financial institution and account they select. It requests the retiree’s name, institution name, account number, nine-digit ABA number, account type, signature, date, printed name, and daytime phone number. The authorization remains in effect until the county receives the retiree’s written notice to end it.

Who needs it

A Kalamazoo County retiree who wants retirement benefits deposited into a chosen checking or savings account should complete this form.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details.

About notarization

This form is signed without a notary; the retiree simply signs and dates it below.

How to submit this form

1
Download the Form
Download the Retirement Direct Deposit Authorization Form.
2
Complete the Form
Enter the retiree and financial institution details, account number, nine-digit ABA number, and account type.
3
Sign and Date
The retiree signs and dates the authorization and provides a printed name and daytime phone number.
4
Submit to the County
Submit the completed form to the county department named on it; check the county website for current contact details.

Frequently asked questions

What does the Retirement Direct Deposit Authorization Form do?: It authorizes Kalamazoo County to deposit a retiree’s benefit into the financial institution and account the retiree selects. It also authorizes debit or adjustment entries if a deposit is transmitted in error.
What information does the form ask for?: The form requests the retiree’s name, financial institution, account number, nine-digit ABA number, checking or savings selection, signature, date, printed name, and daytime phone number.
Do I need a notary for the Retirement Direct Deposit Authorization Form?: No. The retiree signs and dates this form without a notary; it does not identify a notarized attachment or related step.
How do I submit the Retirement Direct Deposit Authorization Form?: Submit it to the county department named on the form. The form does not provide submission contact details, so check the county website for current information.

Need something notarized?

This Retirement Direct Deposit Authorization Form doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.