Then take or mail this form to the financial institution. The financial institution will verify the information in Sections 1 and 2, and will complete Section 3.
Each payment: a separate form must be completed for each type of payment to be sent by Direct Deposit.
Claim number: the claim number and type of payment are printed on Government checks.
Address: payees must keep the Government agency informed of any address changes to receive important information about benefits and to remain qualified for payments.
Financial institution: it should mail the completed form to the Government agency identified above.
| Question | Answer |
|---|---|
| Form Name | Standard Form 1199A |
| Form Length | 4 pages |
| Fillable? | Yes |
| Fillable fields | 217 |
| Avg. time to fill out | 37 min |
| Edition | October 2024 |
| Issuing agency | Treasury Department |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | SF 1199A, SF1199A, SF-1199A, Standard Form 1199A, Form 1199A, Direct Deposit Sign-Up Form |
| Official source | Standard Form 1199A (Rev October 2024), Department of the Treasury |
Standard Form 1199 A isn’t the one you’re looking for?