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Get HI ERS-210 2011-2024

ECTION A – Deposit Authorization By signing in Section D, I/We hereby authorize the Employees’ Retirement System of the State of Hawaii (“ERS”) to automatically and directly deposit my ERS benefits to my/our account at the financial institution named below (“Financial Institution”). SECTION B -- Account Information (see your financial institution for help in completing this section) Name of Account Holder(s): Name of Financial Institution: Routing Number: Account Number: □ Checkin.

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