Form SF-1199A Instructions

Checklist

Form SF-1199A - Direct Deposit Sign-Up (pdf)

Completion of this form is necessary for the timely payment of your biweekly salary.

Section 1

• A - Enter your name, address, and telephone number.
• B - Skip
• C - Enter
• D - Check next to your account type.
• E - Enter your account number. Do you leave blank spaces between the numbers. You may use dashes if they are part of your account number.
• F - Self-explanatory
• G - Skip

Joint Account Holders' Certification:
If there are two names on the account, both account holders must sign here.

Section 2

• Government Agency Name: Census Bureau
• Government Agency Address: Washington, DC 20233

Section 3

• This must be completed, signed, and dated by your financial institution and given back to you.

PLEASE BRING THE COMPLETED FROM TO ORIENTATION.