Form SF 1199A, Direct Deposit Sign-Up Completed Form Examples and Samples
Explore examples of completed SF 1199A forms, demonstrating how to fill out this essential document for setting up direct deposits for employee salaries and Social Security benefits. Learn from detailed examples filled with banking details, employer and beneficiary information, and proper formatting.
SF 1199A Example – Direct Deposit for Employee Salary
How this form was filled:
This example demonstrates how to fill out Form SF 1199A for setting up an employee's direct deposit. The form includes necessary banking details, employer's information, and an employee signature.
Information used to fill out the document:
- Employee Name: Jane Smith
- Bank Name: First National Bank
- Bank Address: 456 Bank Road, Metropolis, USA
- Routing Number: 098765432
- Account Number: 123456789012
- Account Type: Checking
- Employer Name: Tech Corp Solutions
- Employer Address: 789 Enterprise Ave, Metropolis, USA
- Date: 03/18/2025
- Employee Signature: Jane Smith
What this filled form sample shows:
- Accurate completion of banking details including routing and account numbers
- Clear sections for employer's information ensuring accurate records
- Properly formatted signature and date
- Comprehensive guide for setting up direct deposit for employee salary
Form specifications and details:
| Use Case: | Setting up direct deposit for employee salary |
| Relevant Year: | 2025 |
SF 1199A Example – Direct Deposit for Social Security Benefits
How this form was filled:
This example illustrates how to fill out Form SF 1199A to set up direct deposit for Social Security benefits, including essential banking details and beneficiary information.
Information used to fill out the document:
- Beneficiary Name: John Doe
- Bank Name: United Trust Bank
- Bank Address: 123 Finance Street, Springfield, USA
- Routing Number: 123456789
- Account Number: 987654321098
- Account Type: Savings
- Social Security Number: 123-45-6789
- Date: 04/05/2025
- Beneficiary Signature: John Doe
What this filled form sample shows:
- Accurate completion of banking details for direct deposit setup
- Inclusion of Social Security Number for proper processing
- Properly formatted signature and date
- Guidance for setting up direct deposit of Social Security benefits
Form specifications and details:
| Use Case: | Setting up direct deposit for Social Security benefits |
| Relevant Year: | 2025 |
