Standard Form 1199A – Direct Deposit Authorization

Create Document

Standard Form 1199A – Direct Deposit Authorization

A Standard Form 1199A authorizes a federal agency to make payments directly into a payee’s bank account. The payee must fill out the form with the help of their financial institution. The completed form is sent to the government agency named in the document to start receiving direct deposit instead of mailed cheques.

Create Document
PDF

Last updated June 2nd, 2025

Document Preview

A Standard Form 1199A authorizes a federal agency to make payments directly into a payee’s bank account. The payee must fill out the form with the help of their financial institution. The completed form is sent to the government agency named in the document to start receiving direct deposit instead of mailed cheques.

Downloads: 5
  1. Home »
  2. Direct Deposit »
  3. Standard Form 1199A

How to Fill Out Standard Form 1199A

Standard Form 1199A is filled out by a government employee, retiree, or beneficiary and their bank representative.

1. Payee (person receiving federal payments) must provide the following in Section 1.

  • Payee name, address, and phone number
  • Claim or payroll ID number
  • Bank account and details
    • Account type and number
    • Payment type
    • Payment type, and if applicable, allotment
  • Payee signature

2. The payee or the financial institution provides the government agency’s name and address.

3. Payee gives the form to their financial institution for a bank representative to enter in:

  • Bank name and address
  • Routing number
  • Account title
  • Bank representative name and signature

Standard Form 1199A (Preview)