What Are the Instructions to Filling Out a Standard 1199A Form?


Quick Answer

To fill out Standard Form 1199A, a direct deposit sign-up form that some non-vendor federal payment agencies use, enter your personal and financial information in section one and agency information in section two, then leave section three blank. Submit the form to your financial institution by mail or in person.

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Full Answer

In item A, enter your last name, first name, middle initial, street mailing address and telephone number. In item B, give the full name of the person receiving the payment, and in item C, write the person's Social Security or Employer Identification number. In item D, tick whether the payment account is a savings or checking account, and in item E, give the account number. Tick only one box in item F to specify what type of payment you are receiving. You are not required to fill in item G.

Leave the "Joint Account Holders' Certification" blank, and sign and date the form under "Payee/Joint Payee Certification," either alone or with your co-payee. In section two, enter the name and address of the government agency that is paying you by direct deposit. Do not write anything in section three, as it is filled in by your financial institution. When you have completed the form, either mail it to your financial institution along with a voided check from the government agency, or take it to the financial institution in person.

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