Form SF-1199A Direct Deposit Sign-Up Form

Form SF-1199A Direct Deposit Sign-Up Form

What Is Form SF-1199A?

Form SF-1199A, Direct Deposit Sign-up Form , is a legal document signed by any individual who wishes to get direct deposit payments from a government agency. Direct deposit means that your payments are electronically transferred to your account.

Alternate Name:

  • Standard Form 1199-A.

This is the document for you if you are a retiree who receives Social Security benefits, a veteran receiving a pension, or an active service member receiving a salary. The SF-1199A Form serves as a record for you, your financial institution, and the government, and confirms you have the right to keep receiving regular payments.

This form was released by the U.S. Department of the Treasury . The latest version of the form was issued on August 1, 2012 , with all previous editions obsolete.

Where Do I Get Form SF-1199A?

Use Form SF-1199A if you need to identify your bank routing information to deposit federal paychecks directly into your account - this is the safest and most convenient way to receive salary and benefits that will also keep your banking information secure. A fillable version of Form SF-1199A is available for download below.

ADVERTISEMENT

How to Fill Out SF-1199A Form?

To complete Standard Form 1199A, you are required to provide the following details:

  1. Name, address, and telephone number of the payee. If you change your address, you must notify your government agency about it in order to receive important information about benefits and to be qualified for future payments;
  2. Name of the individual entitled to receive payment;
  3. Claim or payroll identification number. This number is printed on government checks and stated on letters and other documents from the government agency;
  4. Type of depositor account (checking or savings) and its number;
  5. Type of payment - select the applicable option;
  6. If you have allotment payments, indicate their type and amount;
  7. Certification. Confirm that you are entitled to the payment you chose above, you have understood the terms and conditions set out in the form, and now authorize your payment to be sent to the financial institution to be deposited to the account. If you have a joint bank account, the signature of the other account owner is required;
  8. Government agency name and address - name the agency that will be paying you. This section may be completed either by you or by a financial institution;
  9. To sign up for direct deposit, you have to visit a financial institution or mail this form to them. Then the financial institution representative writes down the name and address of the financial institution, routing number, and depositor account title, confirms the identity of the payee and signs the form.

Once the SF-1199A direct deposit form is completed and signed by all parties, the financial institution mails this form to the government agency identified in the document. If you have various types of payments to be sent by direct deposit, for instance, Social Security benefits and Veterans Affairs (VA) pension, you are required to complete a separate form for each payment. It is recommended to create three copies of the Direct Deposit Sign-up form: one for you, one for your financial institution, and one for the government agency.

Download Form SF-1199A Direct Deposit Sign-Up Form

4.3 of 5 (24 votes)
  • Form SF-1199A Direct Deposit Sign-Up Form

    1

  • Form SF-1199A Direct Deposit Sign-Up Form, Page 2

    2

  • Form SF-1199A Direct Deposit Sign-Up Form, Page 3

    3

  • Form SF-1199A Direct Deposit Sign-Up Form, Page 4

    4

  • Form SF-1199A Direct Deposit Sign-Up Form, Page 1
  • Form SF-1199A Direct Deposit Sign-Up Form, Page 2
  • Form SF-1199A Direct Deposit Sign-Up Form, Page 3
  • Form SF-1199A Direct Deposit Sign-Up Form, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT