Boxes A to C: payee and claim
Payee name, address and phone number (box A), the name of each person entitled to the payment (box B), and the claim or payroll ID number with any prefix and suffix (box C).
SF1199A
Direct Deposit Sign-Up Form
- Agency
- GSA
- Revision
- Rev. October 2024
- Fillable fields
- 213
- Pages
- 4
- Official source
- GSA form page
- Checked
- October 20, 2026
Standard Form 1199A (SF 1199A): Direct Deposit Sign-Up Form
Standard Form 1199A (SF 1199A) is the Direct Deposit Sign-Up Form, OMB No. 1530-0006. The form says it is prescribed by the Treasury Department under Treasury Department Circular 1076. GSA hosts a copy in its forms library. It sends a Government payment, such as Social Security, Federal salary, military pay or VA compensation or pension, to an account at a financial institution by Direct Deposit.
The payee fills in Sections 1 and 2, then takes or mails the form to the financial institution. The institution verifies that information, completes Section 3 and mails the form to the Government agency named in Section 2. The form says a separate form is completed for each type of payment.
The PDF prints three copies of the same form: a Government agency copy, a financial institution copy and a payee copy. The back shows where the claim number appears on a Government check. You can fill it out free in your browser on this page and download the result without an account.
What's on SF 1199A
Boxes D and E: the account
Whether the account is checking or savings, and the depositor account number.
Box F: type of payment
One box to check, such as Social Security, Supplemental Security Income, Railroad Retirement, Civil Service Retirement (OPM), VA Compensation or Pension, Federal salary, military active, retired or survivor pay, or Other.
Box G and the certifications
Box G is for an allotment of payment only, with its type and amount. Signature lines follow for the payee or joint payee and for joint account holders.
Section 2: Government agency
The name and address of the Government agency that makes the payment. The payee or the financial institution fills it in.
Section 3: financial institution
The institution's name and address, routing number and check digit, the depositor account title, and a representative's certification with name, signature, phone number and date.
How to sign up with SF 1199A
- 1
Read the back of the form
The directions say the payee is to read the back first. It covers privacy, information found on checks, joint accounts, cancellation and changing financial institutions.
- 2
Find your claim number
The form says the claim number and type of payment are printed on Government checks, and are also stated on award letters and other documents from the agency.
- 3
Fill in Sections 1 and 2
Write the payee's name exactly as it appears on the check, show the current address, and check only one type of payment.
- 4
Sign the certification
The payee signs to certify entitlement to the payment and to authorize the deposit to the named financial institution. Joint account holders sign their own certification.
- 5
Take or mail it to your financial institution
The institution verifies Sections 1 and 2, completes Section 3 and signs the financial institution certification.
- 6
The institution mails it to the agency
The form says the financial institution should mail the completed form to the Government agency identified in Section 2.
Why fill Form SF1199A on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Where it goes, changes and cancellation
Where it goes
To your financial institution first, in person or by mail. The institution then mails it to the Government agency identified in Section 2.
One form per payment
The form says a separate form must be completed for each type of payment to be sent by Direct Deposit.
Changing financial institutions
The back says the payee contacts the paying agency with updated financial information, and recommends keeping accounts at both institutions until the new one receives a Direct Deposit payment.
Cancellation
The authorization stays in effect until the recipient cancels it by notice to the Federal agency, or until the recipient's death or legal incapacity. A financial institution can cancel it with written notice to the recipient 30 days ahead.
Joint accounts
The form asks joint account holders to tell both the agency and the financial institution right away of a beneficiary's death. Funds deposited after the date of death or ineligibility, except salary payments, are to be returned to the agency.
Address changes
The form says payees keep the Government agency informed of address changes to receive important information about benefits and to remain qualified for payments.
Related forms
Who uses SF 1199A?
Each section of the form is completed by a different party.
Official sources and the blank
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Questions about Form SF1199A
Who issues SF 1199A?
The form says it is prescribed by the Treasury Department under Treasury Department Circular 1076, and its burden statement names the Bureau of the Fiscal Service. GSA hosts a copy in its forms library.
Where do I send SF 1199A?
To your financial institution, in person or by mail. The institution completes Section 3 and mails the form to the Government agency named in Section 2.
Where do I find my claim number?
The form says it is printed on Government checks beneath the date, and is also stated on beneficiary or annuitant award letters and other documents from the agency.
Can one form cover two payments?
No. The form says a separate form must be completed for each type of payment to be sent by Direct Deposit.
How do I switch to a new bank?
The back of the form says the payee contacts the paying agency with updated financial information. Deposits keep going to the current institution until the agency is notified.
Is the information on the form voluntary?
The privacy notice says providing it is voluntary, but your direct deposit cannot be processed without it.
Why are there three copies?
The PDF prints the same form as a Government agency copy, a financial institution copy and a payee copy.