Standard Form 1199A PDF Details

Section 1 is completed by the payee, Section 2 by the payee or financial institution, and Section 3 by the financial institution.

Name and address: be sure that payee's name is written exactly as it appears on the check, and that current address is shown.

Joint accounts: joint account holders should immediately advise both the Government agency and the financial institution of the death of a beneficiary.

Cancelling: the agreement remains in effect until cancelled by the recipient by notice to the Federal agency or by the death or legal incapacity of the recipient.

Institution: the financial institution may cancel the agreement by providing the recipient a written notice 30 days in advance of the cancellation date.

QuestionAnswer
Form NameStandard Form 1199A
Form Length4 pages
Fillable?Yes
Fillable fields217
Avg. time to fill out37 min
EditionOctober 2024
Issuing agencyTreasury Department
Matches the agency's fileYes, checked October 2, 2026
Other namesSF 1199A, SF1199A, SF-1199A, Form 1199A, 1199A, Standard Form 1199A, Direct Deposit Sign-Up Form
Official sourceStandard Form 1199A (Rev October 2024), Treasury Department

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