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Sf1199a 2025

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The document provides detailed instructions for non-HHS grant recipients on how to complete the Direct Deposit Sign-Up Form (SF 1199A) and the Contact Information Form. It outlines the responsibilities of both the grant recipients and the Awarding Agency in ensuring accurate completion and submission of these forms to establish accounts in the Payment Management System (PMS) for fund requests. The document emphasizes the importance of accuracy, original signatures, and proper dissemination of forms, as well as procedures for handling changes in information.

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Click ‘Get Form’ to open the SF-1199A in the editor.
In Section 1, type or print your organization's name, address, and telephone number. Ensure that no individual's name is entered unless the grant was awarded to them.
Enter your Federal Employer Identification Number (EIN) in the Claim or Payroll ID Number field. This is essential for processing.
Select the type of bank account (Checking or Savings) and input the account number where funds will be deposited.
Complete the Payee Account Holder’s Certification by signing and dating the form. Ensure all information is accurate and original signatures are used.
For Section 2, provide the name and address of the person at your agency who will review this form before submission.
Section 3 must be completed by your financial institution. Ensure they sign and provide a contact number for verification.

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What is sf1199a?

What Is Form SF-1199a? Form SF-1199a is a direct deposit sign-up form for anyone who wishes to receive direct deposit payments from a government agency. This includes retirees receiving Social Security benefits, active military service members receiving salaries or veterans receiving pensions.

How to fill out an authorization agreement for direct deposit?

1:12 2:09 Alone next to routing. Number you will write your routing. Number. This number can be found here onMoreAlone next to routing. Number you will write your routing. Number. This number can be found here on your checks. This number goes here next to account number you will write your account.

How to fill out a military direct deposit form?

The memo should list all the Payee Account Numbers (PANS) that are affected. Send to: Regular Mail Only. HHS/PSC/Division of Payment Management, Post Office Box 6021, Rockville, MD 20852. Express Mail Only. HHS/PSC/Division of Payment Management, 7700 Wisconsin Avenue, Suite 920, Bethesda, MD 20814.