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Direct Deposit Sign-Up Form (SF 1199A) and write on top of the form the specific grant number for the designated bank account. Email, fax, or mail the SF 1199A Form to the same address as provided above.
All information on this form, including the individual claim number, is required under 31 USC 3322, 31 CFR 209 and/or 210. The information is confidential and is needed to prove entitlement to payments.
Collection of the information in this Direct Deposit Sign-Up Form is authorized by 5 U.S.C. § 552a, 31 U.S.C. § 3332(g), and Executive Order 9397 (November 22, 1943). Your social security number and the other information requested will allow the Federal Government to process your direct deposit.
Instructions on Completing the SF-1199A Form Section 1 Form 1199A . To be completed by the Payee: Forms containing white out or any alterations are unacceptable and bank request will be rejected. • (A) Name of Payee - Type or Print your Organization’s Name, Address, and Telephone Number. Do not enter an individual’s name in this block.
29 mar 2023 · Form SF-1199a refers to the direct deposit sign-up form used by the Social Security Administration (SSA). Direct deposits refer to the electronic transfer of Social Security and Supplemental Security Income (SSI) benefits into recipients' bank accounts.
To receive compensation payments via Electronic Funds Transfer (EFT), please complete form SF-1199a "Direct Deposit Sign-Up Form." The SF-1199a is available on our forms page . You may upload the form to your file via ECOMP .
SF 1199A (Back) The estimated average burden associated with this collection of information is 10 minutes per respondent or recordkeeper, depending on individual circumstances.
